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Ankle arthrodesis

Y M Cheng1, S Y Lin, Y C Tien

  • 1Department of Orthopaedic Surgery, Kaohsiung Medical College, Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|September 1, 1993
PubMed
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Ankle arthrodesis effectively treats disabling ankle arthritis, with most patients reporting improved function and satisfaction. Modified Blair

Area of Science:

  • Orthopedic Surgery
  • Podiatry

Background:

  • Ankle arthritis significantly impacts quality of life.
  • Ankle arthrodesis offers a painless, fused joint with limited functional loss.
  • It remains a primary treatment for severe ankle arthritis.

Purpose of the Study:

  • To evaluate the efficacy of different ankle arthrodesis techniques.
  • To assess patient outcomes and satisfaction following ankle fusion.
  • To compare methods for various etiologies of ankle arthritis.

Main Methods:

  • Retrospective analysis of 45 ankle arthrodesis cases (1987-1990).
  • Techniques included modified Blair's, compression arthrodesis (external fixation), and staple fixation.
  • Causes: post-traumatic arthritis, rheumatoid arthritis, osteoarthritis, infection, deformities, avascular necrosis, Charcot joint.

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Main Results:

  • Overall, 85.3% of patients were satisfied with improved ankle function.
  • Average union time was 5.6 months; 11 cases had delayed union.
  • Complications included 2 amputations (infection) and 2 nonunions.

Conclusions:

  • Modified Blair's ankle arthrodesis is effective for diverse causes of ankle arthritis.
  • Compression arthrodesis with external fixation is superior for infected cases.
  • Ankle fusion provides significant functional improvement and patient satisfaction.