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[Tibiotalar arthrodesis under arthroscopy]

F Bresler1, D Molé, D Schmidt

  • 1Clinique de Traumatologie et d'Orthopédie, Nancy.

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|January 1, 1994
PubMed
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Arthroscopic tibio-talar arthrodesis (A.T.T.A.) offers a reliable solution for centered ankle arthritis, showing a high fusion rate and fewer complications than open surgery. This minimally invasive technique leads to faster recovery times.

Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures
  • Ankle Reconstruction

Background:

  • Post-traumatic arthritis commonly affects the tibio-talar joint, often resulting from fractures.
  • Traditional open arthrodesis techniques can involve significant soft tissue disruption and prolonged recovery.
  • Arthroscopic approaches are increasingly explored to minimize surgical invasiveness.

Purpose of the Study:

  • To describe and evaluate an arthroscopic technique for tibio-talar arthrodesis.
  • To assess the advantages, indications, and outcomes of this arthroscopic procedure.
  • To compare arthroscopic tibio-talar arthrodesis (A.T.T.A.) with open surgical methods.

Main Methods:

  • Seven cases of A.T.T.A. were performed for post-traumatic ankle arthritis.

Related Experiment Videos

  • Articular distraction was achieved using transcalcaneus pin traction.
  • Arthroscopic debridement was conducted via anterolateral and anteromedial portals, with fixation by two percutaneous cancellous screws.

    • Main Results:

    • Successful fusion was achieved in all seven patients within an average of 12 weeks.
    • No infections or cutaneous complications were reported.
    • Excellent or very good results were observed, with one case of superficial peroneal nerve branch injury due to screw placement.

    Conclusions:

    • A.T.T.A. demonstrates a low complication rate and faster recovery compared to open arthrodesis.
    • The technique is particularly suitable for 'centered' ankle arthritis.
    • Significant deformities or bone loss requiring grafts are contraindications for this arthroscopic approach.