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A simple technique for arthrodesis of the ankle
The Journal of Bone and Joint Surgery. British Volume
|March 1, 1986
Summary
This study presents a simple ankle arthrodesis technique using a bone graft. The procedure achieved successful pain-free bony fusion in most patients, offering a rapid surgical option.
Area of Science:
- Orthopedic Surgery
- Bone Grafting Techniques
Background:
- Ankle arthrodesis is a surgical procedure to fuse the ankle joint.
- Manual reduction to a functional position is a prerequisite for this technique.
Purpose of the Study:
- To evaluate a novel, simple, and rapid ankle arthrodesis technique.
- To assess the efficacy and outcomes of this specific surgical method.
Main Methods:
- A specialized milling-cutter with an expulsion piston was used to create a cylindrical bone graft.
- The bone graft was reversed and rotated 90 degrees before reintroduction.
- The technique was performed on 72 patients, with 62 followed for an average of six years.
Main Results:
- Fifty-seven patients achieved painless bony fusion in a functional position.
- One patient had solid, painless fusion but in a valgus position.
- Unsatisfactory results were reported in only four patients.
Conclusions:
- This simple and rapid ankle arthrodesis technique demonstrates high success rates for bony fusion.
- The method is indicated for cases where manual reduction to a functional position is achievable.
- The procedure offers a viable and effective surgical solution for ankle fusion.