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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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TIBIOTARSAL COMPRESSION ARTHRODESIS USING A LATERAL LOCKING PLATE.

Michael J Coughlin1, Caio Nery2, Daniel Baumfeld3

  • 1Past-president, American Orthopaedic Foot and Ankle Society Past-president, International Federation of Foot and Ankle Societies. Director, St. Alphonsus Foot and Ankle Clinic - Boise, USA.

Revista Brasileira De Ortopedia
|April 6, 2016
PubMed
Summary
This summary is machine-generated.

This study introduces a new lateral locked plating system for tibiotalar (TT) arthrodesis, achieving solid ankle fusion and improving patient scores. The technique offers accurate alignment and pain relief for ankle arthritis treatment.

Keywords:
Ankle InjuriesArthrodesisBone Plates

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Tibiotalar (TT) arthrodesis is crucial for ankle arthritis, but optimal fixation methods remain debated.
  • Achieving solid, pain-free ankle fusion is the primary goal regardless of the implant used.

Purpose of the Study:

  • To present preliminary outcomes of a novel, laterally based TT arthrodesis system.
  • To evaluate a new compression arthrodesis system utilizing a locked plate.

Main Methods:

  • A cohort of 13 patients with TT arthritis underwent arthrodesis using a new lateral plating system.
  • Surgical technique involved removing articular surfaces, applying compression, and using a precontoured lateral locking plate.

Main Results:

  • Significant improvements were observed in the AOFAS ankle-hindfoot and VAS pain scores.
  • Complete ankle fusion was achieved in all patients within six months.
  • Excellent alignment was maintained across sagittal, coronal, and transverse planes post-surgery.

Conclusions:

  • The combination of bilateral compression, precise bony cuts, and lateral locked plating presents a novel technique.
  • This approach offers an accurate and effective method for ankle arthrodesis.
  • The technique shows promise for successful tibiotalar fusion and improved patient outcomes.