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Ankle arthrodesis using anterior sliding inlay vascularized tibia flap: three case reports
Hiroshi Ono1, Ryotaro Fujitani, Takeshi Katayama
1Department of Orthopaedic Surgery, Kokuho Central Hospital, 404-1 Miyako Tawaramoto, Shiki-gun Nara, Japan. onokota@kinet-tv.ne.jp.
Microsurgery
|January 6, 2011
Summary
This study introduces a new ankle fusion technique using a vascularized tibia flap. This innovative procedure effectively fuses the ankle joint, allowing patients to bear full weight within three months.
Area of Science:
- Orthopedic Surgery
- Vascularized Tissue Transfer
Background:
- Ankle arthritis significantly impacts patient mobility and quality of life.
- Traditional ankle fusion methods can have limitations and complications.
Purpose of the Study:
- To introduce and describe the technique of ankle arthrodesis using an anterior sliding inlay vascularized tibia flap.
- To present the outcomes of three cases utilizing this surgical approach.
Main Methods:
- Elevation of the distal tibia on the tibialis anterior vascular pedicle.
- Distal shifting and inlay of the vascularized tibial flap into the talar graft bed.
- Bridging the tibia and talus to achieve fusion.
Main Results:
- Complete talotibial joint fusion was observed in all three cases within 2 months post-surgery.
- Patients were able to bear full weight at an average of 3 months after the procedure.
- The procedure demonstrated ease of performance.
Conclusions:
- Ankle arthrodesis with an anterior sliding inlay vascularized tibia flap is a viable and effective treatment.
- This technique is suitable for both primary and secondary ankle arthritis.
- It offers a promising option for restoring ankle function and mobility.