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Ankle arthrodesis in children.

J M Mazur1, R J Cummings, W P McCluskey

  • 1Department of Orthopaedics, Nemours Children's Clinic, Jacksonville, FL 32247.

Clinical Orthopaedics and Related Research
|July 1, 1991
PubMed
Summary

Ankle arthrodesis in children, particularly tibiotalar fusion using Chuinard's technique, effectively manages pain and instability with good long-term function. Some strenuous activities may require modification post-surgery.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Foot and Ankle Surgery

Background:

  • Ankle arthrodesis indications, techniques, and outcomes vary significantly between pediatric and adult populations.
  • In children, tibiotalar fusion is often necessitated by pain from conditions like traumatic or septic arthritis, and instability due to congenital or paralytic disorders.

Purpose of the Study:

  • To delineate the specific indications for ankle arthrodesis in pediatric patients.
  • To describe the optimal surgical technique, Chuinard's fusion, for tibiotalar fusion in children.
  • To evaluate the long-term functional results and potential limitations following ankle arthrodesis in young individuals.

Main Methods:

  • Review of indications for pediatric ankle arthrodesis.
  • Description of Chuinard's fusion technique for tibiotalar fusion in children.

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  • Assessment of long-term functional outcomes, including pain, disability, and activity limitations.

    • Main Results:

    • Chuinard's fusion allows for tibiotalar fusion without compromising the distal tibial growth plate in pediatric patients.
    • Children undergoing ankle arthrodesis generally experience excellent long-term functional results with minimal pain and disability.
    • Certain high-impact activities like running or stair climbing may be restricted or necessitate compensatory strategies.

    Conclusions:

    • Ankle arthrodesis, specifically Chuinard's fusion, is a successful procedure for addressing pain and instability in pediatric patients.
    • The technique preserves growth potential while achieving fusion, leading to favorable long-term functional outcomes in children.
    • While generally effective, patients may need to adapt to certain activity limitations post-surgery.