Open posterior approach for tibiotalar arthrodesis

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Foot and Ankle Reconstruction

Background:

• Traumatic injuries to the ankle and hindfoot frequently cause tibiotalar or subtalar arthritis.
• Conservative treatments for associated pain, stiffness, and deformity are often insufficient.
• Joint arthrodesis is the primary surgical intervention for these debilitating conditions.

Purpose of the Study:

• To discuss the application of the posterior surgical approach for ankle and hindfoot arthrodesis.
• To detail the use of this approach for tibiotalar and tibiotalocalcaneal fusions.
• To describe its utility in converting failed total ankle arthroplasty to arthrodesis.

Main Methods:

• Utilizes a posterior surgical approach for accessing the tibiotalar and subtalar joints.
• Describes the technique for performing complete tibiotalar and tibiotalocalcaneal arthrodesis.
• Outlines the procedure for revision of failed total ankle arthroplasty via arthrodesis.

Main Results:

• The posterior approach facilitates comprehensive fusion of the tibiotalar and tibiotalocalcaneal joints.
• This technique provides a viable option for managing complex post-traumatic arthritis.
• It is effective in salvaging failed total ankle replacements through arthrodesis.

Conclusions:

• The posterior approach is a versatile and effective method for tibiotalar and tibiotalocalcaneal arthrodesis.
• It offers a reliable solution for patients with severe post-traumatic ankle arthritis.
• This surgical technique is a valuable option for revision after total ankle arthroplasty failure.