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Related Concept Videos

Ankle Joint01:10

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People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
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Related Experiment Video

Updated: Feb 14, 2026

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Arthroscopic versus open ankle arthrodesis.

Jonathan Quayle1, Roozbeh Shafafy1, Muhammad Asim Khan2

  • 1Frimley Park Hospital, Portsmouth Road, Frimley, Surrey, GU16 7UJ, United Kingdom.

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
|February 8, 2018
PubMed
Summary
This summary is machine-generated.

Arthroscopic ankle fusion shows comparable deformity correction to open fusion but with fewer complications. Low BMI was identified as a risk factor for complications in ankle fusion surgery.

Keywords:
AnkleArthrodesisArthroscopicOpen

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Area of Science:

  • Orthopedic Surgery
  • Surgical Innovation
  • Biomedical Engineering

Background:

  • Arthroscopic ankle fusion is hypothesized to offer advantages over open fusion, including better functional outcomes, reduced time to fusion, shorter hospital stays, and fewer complications.
  • However, concerns exist regarding the efficacy of the arthroscopic approach in correcting severe, established ankle deformities.

Purpose of the Study:

  • To compare the outcomes of arthroscopic ankle fusion with open ankle fusion.
  • To evaluate the ability of arthroscopic ankle fusion to correct severe deformities.
  • To identify factors associated with complications after ankle fusion.

Main Methods:

  • Retrospective review of consecutive tibio-talar ankle fusions (open and arthroscopic) between April 2009 and March 2014.
  • Analysis of medical records and radiographs with a minimum 1-year follow-up.
  • Comparison of length of stay, time to fusion, deformity correction, union rates, and complications between the two surgical approaches.
  • Multivariate binary logistic regression to identify predictors of complications.

Main Results:

  • Arthroscopic ankle fusion demonstrated a trend towards shorter time to fusion (146 days vs. 196 days) and a significantly higher union rate (98% vs. 83%) compared to open fusion.
  • Both methods achieved comparable correction of severe deformities (>10°) to within 5° of neutral (96% vs. 97%).
  • The open arthrodesis group experienced a higher complication rate (31% vs. 8%), while low BMI was identified as a significant predictor of complications (p=0.064).

Conclusions:

  • Open ankle fusion is associated with a higher complication rate and lower fusion rates compared to arthroscopic ankle fusion.
  • There is no significant difference in length of stay or the ability to correct severe deformity between the two surgical techniques.
  • Low body mass index (BMI) is a risk factor associated with increased complications following ankle fusion surgery.