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[Ankle arthrodesis: critical analysis of three techniques]
A E de Carvalho Júnior1, T D Fernandes, M de A Corsato
1Grupo de Pé da Disciplina de Ortopedia e Traumatologia, Faculdade de Medicina, Universidade de São Paulo.
Revista Do Hospital Das Clinicas
|May 1, 1997
Summary
This study compares three ankle arthrodesis techniques: Gatellier-Adams, Kenneth-Johnson with external fixator, and crossed cannulated screws. Each technique shows specific indications for optimal outcomes in ankle fusion surgery.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Ankle arthrodesis is indicated for pain, instability, deformity, and articular degeneration.
- Evaluating different surgical techniques is crucial for improving patient outcomes.
Purpose of the Study:
- To compare the outcomes of three distinct ankle arthrodesis techniques.
- To identify specific indications for each surgical method.
Main Methods:
- Randomized analysis of three ankle arthrodesis techniques.
- Group I: Gatellier-Adams technique (transfibular approach).
- Group II: Kenneth-Johnson technique (Calandruccio external fixator).
- Group III: Crossed cannulated screws fixation.
Main Results:
- Each technique demonstrated specific advantages and disadvantages.
- Evaluation criteria included final radiographic foot position and union achievement.
- Group I is indicated for "in situ" arthrodesis.
- Group II is suitable for infected cases.
- Group III is recommended for severe malalignment.
Conclusions:
- The choice of ankle arthrodesis technique should be tailored to the specific patient condition.
- Gatellier-Adams, Kenneth-Johnson, and crossed cannulated screws offer distinct benefits for different ankle pathologies.