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Updated: Jul 28, 2026
07:24
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
Complications following arthroscopic ankle arthrodesis
L A Crosby1, T C Yee, T S Formanek
1Division of Orthopaedic Surgery, Creighton University School of Medicine, Omaha, Nebraska 68131, USA.
Foot & Ankle International
|June 1, 1996
Summary
This study found that arthroscopic ankle fusion using demineralized bone matrix and bone marrow slurry had a high complication rate. The graft substitute did not appear to improve fusion rates compared to previous methods.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Arthroscopic ankle arthrodesis is a surgical procedure to fuse the ankle joint.
- Graft substitutes are used to promote bone healing in fusions.
Purpose of the Study:
- To evaluate the efficacy and complication rates of arthroscopic ankle arthrodesis using a specific distraction technique and a demineralized bone matrix-bone marrow slurry graft substitute.
Main Methods:
- Forty-two patients underwent arthroscopic ankle arthrodesis with a bi-framed distraction technique.
- Demineralized bone matrix-bone marrow slurry was used as a graft substitute.
Main Results:
- The overall complication rate was 55%, including nonunions, fractures, infections, hardware issues, and painful subtalar joints.
- Despite the high complication rate, 85% of patients reported satisfaction with the final outcome.
- The use of demineralized bone matrix and bone marrow did not demonstrate an increased fusion rate compared to historical data.
Conclusions:
- Arthroscopic ankle arthrodesis with the described technique and graft substitute resulted in a high complication rate.
- Most complications were minor and manageable, with high patient satisfaction.
- The graft substitute did not appear to enhance fusion rates in this study.
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