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Modified Blair method for ankle arthrodesis

S Y Lin1, Y M Cheng, P J Huang

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

The Kaohsiung Journal of Medical Sciences
|May 20, 1998
PubMed
Summary
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This study modified Blair

Area of Science:

  • Orthopedic Surgery
  • Bone Grafting Techniques

Background:

  • Ankle arthrodesis aims to achieve solid bony fusion of the ankle joint.
  • Traditional methods may require interarticular compression for successful fusion.

Purpose of the Study:

  • To evaluate a modified Blair's ankle arthrodesis technique.
  • To assess the efficacy of specific graft modifications and fixation methods.

Main Methods:

  • Modified Blair's ankle arthrodesis involving longitudinal oblique cutting for sliding bone grafts.
  • Utilized upside-down grafting and additional screw fixation at the talar site.
  • Optional staples fixation at the tibia-talar junction was employed.

Main Results:

  • Achieved a 91.2% fusion rate in 34 cases.

Related Experiment Videos

  • Average fusion time was 5.6 months.
  • Modifications enhanced bony fusion surface and bone bridge strength.

    • Conclusions:

    • Modified technique provides solid ankle arthrodesis.
    • Effective fusion achieved even without interarticular compression.
    • Graft modifications and screw fixation ensure union and stability.