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[Ankle arthrodesis using the arthroscopic technique].

Pascal Rippstein1, Bharat Kumar, Markus Müller

  • 1Zentrum für Fusschirurgie, Schulthess Klink, Lengghalde 2, CH-8008 Zürich, Switzerland. pascal.rippstein@kws.ch

Operative Orthopadie Und Traumatologie
|December 7, 2005
PubMed
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This study presents a minimally invasive arthroscopic ankle fusion technique, achieving high fusion rates and allowing early weight-bearing. The procedure offers a fast, safe, and reliable solution for ankle arthritis.

Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures
  • Ankle Arthrodesis

Background:

  • Ankle arthritis unresponsive to conservative treatments necessitates surgical intervention.
  • Traditional open ankle fusion can involve significant morbidity.
  • Minimally invasive techniques aim to reduce surgical trauma and improve recovery.

Purpose of the Study:

  • To evaluate the efficacy and safety of a minimally invasive arthroscopic ankle fusion technique.
  • To assess the fusion rates and clinical outcomes of this approach.

Main Methods:

  • Arthroscopic ankle arthrodesis performed through standard anteromedial and anterolateral portals.
  • Debridement of synovium and osteophytes, cartilage removal, and subchondral bone preparation.
  • Ankle fixation using 2-3 cancellous lag screws under image intensification.

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Main Results:

  • 28 arthroscopic ankle fusions were performed between September 1998 and February 2003.
  • 82% of ankles showed radiologic consolidation at 6 weeks, allowing full weight-bearing.
  • 93% achieved complete ankle fusion at 1-year follow-up; two smokers had delayed/unsuccessful fusion.

Conclusions:

  • Minimally invasive arthroscopic ankle fusion is a fast, safe, and reliable procedure.
  • High rates of bony consolidation and successful fusion were observed.
  • The technique facilitates early weight-bearing and potentially faster patient recovery.