Arthroscopic ankle arthrodesis after tibial pilon open reduction internal fixation

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery
• Arthroscopy

Background:

• Ankle arthrodesis remains a valuable treatment for ankle arthritis unresponsive to conservative care.
• Ankle arthroplasty is evolving, but arthrodesis is a proven, safe alternative.
• Previous tibia plafond fractures treated with open-reduction internal fixation (ORIF) present unique surgical challenges.

Observation:

• The authors detail a technique for arthroscopic ankle arthrodesis in patients with a history of ORIF for tibia plafond fractures.
• This approach aims to address the challenges posed by compromised soft tissues in these patients.

Findings:

• Arthroscopic ankle arthrodesis is a reliable method for achieving solid fusion.
• The minimally invasive nature of arthroscopy minimizes soft-tissue trauma and dissection.
• This technique is effective even in the setting of previous ORIF for tibia plafond fractures.

Implications:

• Arthroscopic ankle arthrodesis provides a viable option for complex ankle reconstructions.
• Minimally invasive techniques can improve outcomes in previously operated ankles.
• This approach may reduce morbidity compared to traditional open procedures.