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Ankle arthrodesis- a 5 year review.
W Yinusa1, O Adegbite, A Owoola
1Department Of Orthopaedic Surgery, National Orthopaedic Hospital, PMB 2009, Yaba, Lagos, Nigeria
The Nigerian Postgraduate Medical Journal
|March 24, 2009
Summary
Ankle arthrodesis is commonly indicated for post-traumatic arthritis. While external fixation showed an 85% fusion rate, post-surgical infection was high, yet most patients achieved good outcomes.
Area of Science:
- Orthopaedic Surgery
- Traumatology
- Musculoskeletal System
Background:
- Ankle arthrodesis is frequently performed for painful arthrosis.
- The National Orthopaedic Hospital, Igbobi, Lagos (NOHIL) is Nigeria's largest orthopaedic center.
- The study assesses the relevance of ankle arthrodesis in Nigerian orthopaedic practice.
Purpose of the Study:
- To determine the indications for ankle arthrodesis.
- To evaluate the complications associated with the procedure.
- To assess the functional outcomes of ankle arthrodesis at NOHIL.
Main Methods:
- A 15-year retrospective analysis (1989-2003) of ankle arthrodesis cases at NOHIL.
- Inclusion of 35 patients with complete records and radiographic films from 58 total cases.
- Analysis of demographic data, indications, surgical techniques, complications, and outcomes using SPSS version 11.
Main Results:
- Post-traumatic arthrosis was the primary indication for ankle arthrodesis.
- The AO and Charnley compression techniques were most frequently used.
- Good outcomes were reported in 48.6% of patients, fair in 27.0%, and poor in 13.5%.
Conclusions:
- Post-traumatic ankle arthrosis is the leading indication for ankle arthrodesis.
- External fixation achieved an 85% fusion rate, despite a high incidence of post-surgical infection.
- The majority of patients experienced good functional outcomes following ankle arthrodesis.
