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Internal compression arthrodesis of the ankle
Clinical Orthopaedics and Related Research
|October 1, 1985
Summary
Tibiotalar arthritis was treated using internal compression and a bilateral tension device, achieving successful bone fusion. Immobilization periods of three or ten weeks both yielded excellent outcomes with good function and minimal complications.
Area of Science:
- Orthopedic surgery
- Bone healing
- Arthritis treatment
Background:
- Tibiotalar arthritis significantly impairs joint function.
- Surgical arthrodesis is a treatment option for severe arthritis.
- Internal fixation methods aim to improve fusion rates and stability.
Purpose of the Study:
- To evaluate the efficacy of internal compression with a bilateral tension device for tibiotalar arthrodesis.
- To compare outcomes between different immobilization durations following the procedure.
Main Methods:
- Eight patients with disabling tibiotalar arthritis underwent arthrodesis using bone plates and a bilateral tension device.
- A bilateral surgical approach was employed without bone grafting.
- Patients were divided into two groups, immobilized for three weeks and ten weeks, respectively.
Main Results:
- The arthrodesis procedure consistently resulted in bone union in all patients.
- Excellent cosmetic results, minimal complications, and good functional recovery were observed.
- Both immobilization groups demonstrated successful outcomes.
Conclusions:
- Internal compression with a bilateral tension device is an effective technique for tibiotalar arthrodesis.
- The procedure offers a reliable solution for disabling arthritis, achieving union with favorable functional results.
- Immobilization duration did not negatively impact the successful union and functional outcomes.