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Ilizarov ankle arthrodesis.

E E Johnson1, J Weltmer, G J Lian

  • 1Division of Orthopaedic Surgery, University of California, Los Angeles 90024.

Clinical Orthopaedics and Related Research
|July 1, 1992
PubMed
Summary
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The Ilizarov external fixator effectively achieved tibiocalcaneal fusion in complex ankle cases, including infected non-unions and posttraumatic arthritis, with no signs of infection post-treatment.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Failed infected ankle fusions present significant challenges, often involving bone destruction and deformity.
  • Posttraumatic degenerative ankle arthritis requires effective reconstructive methods.

Purpose of the Study:

  • To evaluate the efficacy of monofocal compression arthrodesis using the Ilizarov external fixator.
  • To assess outcomes in patients with infected failed ankle fusions and posttraumatic arthritis.

Main Methods:

  • Six patients underwent treatment with the Ilizarov external fixator for ankle fusion.
  • Dynamic compression, custom foot plates, and weight-bearing as tolerated were employed.
  • Follow-up included clinical evaluation for fusion, infection, and complications.

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Main Results:

  • Successful tibiocalcaneal fusion was achieved in 3 of 4 infected failed ankle fusions.
  • No infection recurrence was noted in successfully fused patients.
  • Two primary ankle fusions healed successfully; complications included frame intolerance and refracture.

Conclusions:

  • The Ilizarov frame demonstrates potential advantages for primary ankle arthrodesis.
  • It offers a viable salvage option for infected failed ankle fusions.
  • Further investigation into its application in complex ankle reconstructions is warranted.