The Ilizarov technique in ankle fusion: a preliminary report

Complex distal tibia fractures and failed ankle arthrodesis represent a significant challenge to today's orthopaedic surgeon. The complexity of these problems is further increased when associated with additional complications such as osteomyelitis, leg length discrepancy or concomitant foot deformity. In many instances, the only viable salvage alternative is amputation. The following is a preliminary report of nineteen cases of complex distal tibia pathology or failed ankle arthrodesis treated with the Ilizarov external fixator apparatus. Of the eighteen cases available for follow-up, fifteen (83.3%) achieved good results with solid ankle arthrodesis and resolution of associated pathology. The Ilizarov may be a viable clinical tool in these difficult cases where amputation is the alternative.