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Arthroscopic ankle arthrodesis

C M Dent1, M Patil, J A Fairclough

  • 1Department of Trauma and Orthopaedic Surgery, Cardiff Royal Infirmary, UK.

The Journal of Bone and Joint Surgery. British Volume
|September 1, 1993
PubMed
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Arthroscopic ankle arthrodesis using crossed tibiotalar compression screws achieved clinical ankylosis in all eight patients. Four patients showed radiological evidence of bone fusion, indicating successful joint fusion for arthritis treatment.

Area of Science:

  • Orthopedics
  • Surgical Innovation
  • Arthroscopy

Background:

  • Ankle osteoarthritis, including rheumatoid arthritis and post-traumatic conditions, often necessitates surgical intervention.
  • Arthrodesis aims to alleviate pain and restore function by fusing the ankle joint.
  • Traditional open arthrodesis can involve significant soft tissue disruption.

Purpose of the Study:

  • To evaluate the efficacy of arthroscopic ankle arthrodesis.
  • To assess the outcomes of using crossed tibiotalar compression screws for ankle fusion.
  • To determine the rate of clinical and radiological fusion in patients with ankle arthritis.

Main Methods:

  • Eight patients underwent arthroscopic ankle arthrodesis.
  • The procedure involved arthroscopic joint excision and fixation with crossed tibiotalar compression screws.

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  • Patients included those with rheumatoid arthritis and post-traumatic osteoarthritis without severe deformities.
  • Main Results:

    • All eight patients achieved clinical ankylosis (joint fusion).
    • Radiological evidence of bone fusion was observed in four out of eight patients.
    • The technique was applied to patients with inflammatory and degenerative arthritis.

    Conclusions:

    • Arthroscopic ankle arthrodesis with crossed tibiotalar compression screws is a viable option for achieving clinical fusion.
    • While clinical success was universal, radiological fusion rates varied.
    • This minimally invasive approach offers a potential alternative for managing ankle arthritis.