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Ankle fusion: a retrospective review
1Department of Orthopedic Surgery, University of Colorado Health Sciences Center, Denver 80262.
Orthopedics
|November 1, 1990
Summary
Ankle fusion surgery achieved an 81% union rate for posttraumatic arthritis, with crossed screws and external fixation showing the best outcomes. Common complications included nonunion and infection, with some patients developing further subtalar arthritis.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Musculoskeletal Research
Background:
- Posttraumatic degenerative arthritis frequently necessitates ankle fusion.
- Ankle arthrodesis is a critical procedure for managing end-stage ankle joint disease.
Purpose of the Study:
- To evaluate the outcomes of ankle fusion procedures.
- To identify the most effective surgical techniques and common complications.
Main Methods:
- Retrospective review of 32 ankle arthrodesis procedures in 26 patients.
- Analysis of surgical methods, including crossed cancellous screws and external fixation.
- Assessment of union rates, complications, and functional outcomes.
Main Results:
- An overall union rate of 81% was achieved.
- Crossed cancellous screws and external fixation demonstrated high success rates (86%).
- Nonunion and infection were the most prevalent complications; 29% experienced subtalar arthritis progression.
Conclusions:
- Ankle fusion is an effective treatment for posttraumatic arthritis, yielding good union rates.
- Careful patient selection and surgical technique are crucial for minimizing complications.
- Long-term monitoring is necessary due to potential progression of adjacent joint arthritis.