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[The transfibular approach for ankle arthrodesis].

Gerhard Flückiger1, Martin Weber

  • 1University Clinic for Orthopedic Surgery, Inselspital Bern, CH-3010 Berne, Switzerland.

Operative Orthopadie Und Traumatologie
|December 7, 2005
PubMed
Summary

This study demonstrates successful ankle fusion (arthrodesis) in patients with severe ankle problems, leading to pain relief and improved function. All patients reported satisfactory outcomes and would opt for the surgery again.

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Arthrodesis

Background:

  • Ankle arthrodesis addresses severe ankle joint damage, pain, and dysfunction.
  • Indications include cartilage loss, malalignment, avascular necrosis, Charcot joint, and revision of failed ankle replacements.

Purpose of the Study:

  • To evaluate the efficacy of ankle arthrodesis for achieving bony fusion and restoring pain-free function.
  • To assess functional outcomes and patient satisfaction following the procedure.

Main Methods:

  • A posterolateral approach was used, involving fibular osteotomy and ligament division.
  • Tibial and talar articular surfaces were resected, and the talus was positioned perpendicular to the tibia.
  • Fixation was achieved with Kirschner wires, lag screws, and cortical screws, with radiographic and clinical follow-up.

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Main Results:

  • Twenty ankle arthrodeses in 19 patients achieved solid bony fusion with a mean follow-up of 39 months.
  • One case of fibular pseudarthrosis and one malunion (pes equinus) were noted.
  • The average American Orthopedic Foot and Ankle Society (AOFAS) hindfoot score was 78.5, with all patients reporting symptom reduction and satisfactory function.

Conclusions:

  • Ankle arthrodesis is an effective procedure for achieving bony fusion and improving function in patients with debilitating ankle conditions.
  • The surgical technique described provides reliable fusion and high patient satisfaction, with a low complication rate.