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Ankle fusion
R A Mann1, J W Van Manen, K Wapner
1Saint Joseph's Hospital, Philadelphia, Pennsylvania.
Clinical Orthopaedics and Related Research
|July 1, 1991
Summary
This study shows a transfibular approach for ankle fusion is effective. It provides excellent joint visualization and achieves high fusion rates with minimal complications, simplifying the procedure.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Ankle arthrodesis is a surgical procedure to fuse the ankle joint.
- Various surgical approaches exist for ankle fusion.
Purpose of the Study:
- To evaluate the efficacy and safety of a transfibular lateral approach for ankle arthrodesis.
- To assess fusion rates, complications, and outcomes using this technique.
Main Methods:
- Eighteen patients underwent ankle fusion using a transfibular lateral approach.
- The approach utilizes an internervous interval between the sural and superficial peroneal nerves.
- Fusion was stabilized with AO screws; no bone graft was used.
Main Results:
- Successful fusion was achieved in 17 out of 18 patients (94.4%).
- Average immobilization period was 14 weeks.
- No wound healing issues or nerve disruptions were reported.
Conclusions:
- The transfibular lateral approach offers excellent visualization and a safe surgical corridor.
- This technique allows for good bone apposition and rigid fixation without bone grafting.
- It is a simple and effective method for ankle arthrodesis.