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An overview of ankle arthrodesis
1Department of Orthopedics, Providence Hospital, Seattle, Washington.
Clinical Orthopaedics and Related Research
|July 1, 1991
Summary
Ankle arthrodesis can restore normal gait but carries risks. Proper management of anatomy, deformity, and bone deficiency is crucial for successful ankle fusion, especially after conservative treatments fail.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
Background:
- Ankle arthrodesis offers a painless gait but is associated with significant potential complications.
- Addressing anatomical variations, deformities, and bony deficiencies is paramount for successful outcomes.
Purpose of the Study:
- To review the indications, considerations, and techniques for successful ankle arthrodesis.
- To highlight the importance of conservative management before surgical intervention.
Main Methods:
- Review of current literature on ankle arthrodesis.
- Discussion of nonoperative treatment options including debridement.
- Analysis of factors influencing arthrodesis success, including infection, deformity, and bone defects.
Main Results:
- Nonoperative treatments like ankle debridement can provide pain relief.
- Ankle arthrodesis is indicated when conservative measures fail.
- Special considerations are needed for infections, deformities, sensory issues, and bone loss.
Conclusions:
- Successful ankle arthrodesis requires careful attention to patient-specific factors and potential complications.
- Bone grafting and compression techniques improve fusion rates.
- Conservative management should be prioritized before considering surgical fusion.