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The Ilizarov technique in ankle fusion
B J Hawkins1, R J Langerman, D M Anger
1Division of Orthopaedic Surgery, University of Texas Medical Branch, Galveston 77555-0792.
Clinical Orthopaedics and Related Research
|June 1, 1994
Summary
Failed ankle fusions present complex challenges, often requiring amputation. The Ilizarov external fixator offers a viable solution, achieving successful ankle fusion and resolving complications in 80% of challenging cases.
Area of Science:
- Orthopedic Surgery
- Limb Reconstruction
- Trauma Surgery
Background:
- Failed ankle arthrodesis is a complex orthopedic challenge.
- Complications like osteomyelitis and deformity often necessitate amputation.
- Salvage options for severe distal tibial pathology are limited.
Purpose of the Study:
- To evaluate the efficacy of the Ilizarov external fixator for complex distal tibial pathology and failed ankle arthrodesis.
- To assess the Ilizarov fixator as an alternative to amputation in challenging cases.
- To report outcomes of patients treated with the Ilizarov fixator for severe ankle and distal tibia issues.
Main Methods:
- Retrospective case series of 21 patients with complex distal tibial pathology or failed ankle arthrodesis.
- Treatment involved application of the Ilizarov external fixator.
- Follow-up evaluation of 20 cases to assess arthrodesis and complication resolution.
Main Results:
- 16 out of 20 (80%) cases achieved successful ankle arthrodesis.
- Associated pathologies were resolved in the successful cases.
- The Ilizarov fixator demonstrated effectiveness in limb salvage.
Conclusions:
- The Ilizarov external fixator is a viable clinical tool for managing failed ankle arthrodesis and complex distal tibial pathology.
- It offers a successful alternative to amputation in select challenging cases.
- This technique can lead to solid ankle fusion and resolution of associated problems.