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Technique and short-term results of ankle arthrodesis using anterior plating

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Abstract

Clinical and biomechanical trials have shown that rigid internal fixation during ankle arthrodesis leads to increased rates of union and is associated with a reduced infection rate, union time, discomfort and earlier mobilisation compared with other methods. We describe our technique of ankle arthrodesis using anterior plating with a narrow dynamic compression plate (DCP). Between 2004 and 2007, 29 patients with a mean age of 24.4 years (range 18–42) had ankle arthrodesis using an anteriorly placed narrow DCP. Twenty-two patients were post-traumatic and seven were paralytic (five after spine fracture and two after common peroneal nerve injury). Follow-up was between 12 and 18 months (average 14 months). A rate of fusion of 100% was achieved at an average of 12.2 weeks. According to the Mazur ankle score, 65.5% had excellent, 20.7% good and 13.8% fair results. Ankle arthrodesis using an anteriorly placed narrow DCP is a good method to achieve ankle fusion in many types of ankle arthropathies.

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References

  1. Gschwend N, Steiger U (1987) Stable fixation in hind foot arthrodesis, a valuable procedure in the complex RA foot. Rheumatology 11:114–125

    Google Scholar 

  2. Lionberger DR, Bishop JO, Tullos HS (1982) The modified blair fusion. Foot Ankle 3:60–62

    PubMed  CAS  Google Scholar 

  3. Wang C, Tambakis A, Fielding JW (1974) Evaluation of ankle arthrodesis in children. Clin Orthop 98:233–238

    Article  PubMed  Google Scholar 

  4. Hallock H (1945) Arthrodesis of the ankle joint for old painful fracture. J Bone Joint Surg 27:49–58

    Google Scholar 

  5. Charnely JC (1951) Compression arthrodesis of the ankle and shoulder. J Bone Joint Surg 33B:180–191

    Google Scholar 

  6. Scranton PE Jr, Fu FH, Brown TD (1980) Ankle arthrodesis: a comparative clinical and biomechanical evaluation. Clin Orthop 151:234–243

    PubMed  Google Scholar 

  7. Morrey BF, Wiedeman GP (1980) Complications and long term results of ankle arthrodesis following trauma. J Bone Joint Surg 62A:777–784

    Google Scholar 

  8. Scranton PE (1991) An overview of ankle arthrodesis. Clin Orthop 268:96–101

    PubMed  Google Scholar 

  9. Dohm MP, Benjamin JB, Harrison J, Szivek JA (1994) A biomechanical evaluation of three forms of internal fixation used in ankle arthrodesis. Foot Ankle Int 15:297–300

    PubMed  CAS  Google Scholar 

  10. Moeckel BH, Patterson BM, Inglis AE, Sculco TP (1991) Ankle arthrodesis: a comparison of internal fixation and external fixator. Clin Orthop 268:78–83

    PubMed  Google Scholar 

  11. Mazur JM, Schwartz E, Simon SR (1979) Ankle arthrodesis: long term follow up with gait analysis. J Bone Joint Surg 61A:964–975

    Google Scholar 

  12. Cheng YM, Huang PJ, Hung SH, Chen TB, Lin SY (2000) The surgical treatment for degenerative disease of the ankle. Int Orthop 24(1):36–39

    Article  PubMed  CAS  Google Scholar 

  13. Dohm MP, Purdy PA, Benjamin JB (1994) Primary union of ankle arthrodesis: review of a single institution/multiple surgeon experience. Foot Ankle Int 15:293–296

    PubMed  CAS  Google Scholar 

  14. Morgan CD, Henke JA, Baily RW, Kaufer H (1985) Long term results of tibiotalar arthrodesis. J Bone Joint Surg 67A:546–550

    Google Scholar 

  15. Glick JM, Morgan CD, Myerson MS, Sampson TG, Mann JA (1996) Ankle arthrodesis using an arthroscopic method: long term follow up of 34 cases. Arthroscopy 12:428–434

    Article  PubMed  CAS  Google Scholar 

  16. Douglas AD, Mack LC, David AW, Robert PM, Morris HS (1990) Internal fixation compression arthrodesis of the ankle. Clin Orthop 253:212–220

    Google Scholar 

  17. Hagnan RJ (1986) Ankle arthrodesis: problems and pitfalls. Clin Orthop 202:152–162

    Google Scholar 

  18. Mendicino RW, Catanzariti AR, Saltrick KR, Dombek MF, Tullis BL, Statler TK, Johnson BM (2004) Tibiocalcaneal arthrodesis with retrograde intramedullary nailing. J Foot Ankle Surg 43(2):82–86

    Article  PubMed  Google Scholar 

  19. Chen Y, Huang T, Shih H et al (1996) Ankle arthrodesis with cross-screw fixation: good results in 36/40 cases followed 3–7 years. Acta Orthop Scand 67(5):473–478

    Article  PubMed  CAS  Google Scholar 

  20. Ogilvie-Harris DJ, Fitsialos D, Hedman TP (1994) Arthrodesis of the ankle. A comparison of two versus three screw fixation in a crossed configuration. Clin Orthop Relat Res 304:195–199

    PubMed  Google Scholar 

  21. Wang G, Shen W, McLaughlin R, Stamp WG (1993) Transfibular compression arthrodesis of the ankle joint. Clin Orthop 289:223–227

    PubMed  Google Scholar 

  22. Rowan R, Davey KJ (1999) Ankle arthrodesis using an anterior AO T plate of the ankle joint. J Bone Joint Surg 81B:113–116

    Article  Google Scholar 

  23. Wera GD, Snotich JK (2007) Tibiotalar arthrodesis using a custom blade plate. J Trauma 63(6):1279–1282

    Article  PubMed  Google Scholar 

  24. Kakarala G, Rajan DT (2006) Comparative study of ankle arthrodesis using cross screw fixation versus anterior contoured plate plus cross screw fixation. Acta Orthop Belgica 72(6):716–721

    Google Scholar 

  25. Kats J, Van Kampen A, de Waal-Malefijt MC (2002) Improvement in technique for arthroscopic ankle fusion: results in 15 patients. KSSTA 11(1):46–49

    Google Scholar 

  26. Morrey BF, Wieddemann GP (1980) Complications and long term results of ankle arthrodesis following trauma. J Bone Joint Surg 62A:777–784

    Google Scholar 

  27. Thomas T, Daniels TR, Parker K (2006) Gait analysis and functional outcomes following ankle arthrodesis for isolated ankle arthritis. J Bone Joint Surg 88A:526–535

    Article  Google Scholar 

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Authors and Affiliations

  1. Orthopedic Department, Assiut University Hospital, Assiut, 71111, Egypt

    Aly Mohamedean, Hatem G. Said, Mohammad El-Sharkawi, Wael El-Adly & Galal Z. Said

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  1. Aly Mohamedean
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  2. Hatem G. Said
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  3. Mohammad El-Sharkawi
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  4. Wael El-Adly
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  5. Galal Z. Said
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Correspondence to Hatem G. Said.

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Mohamedean, A., Said, H.G., El-Sharkawi, M. et al. Technique and short-term results of ankle arthrodesis using anterior plating. International Orthopaedics (SICOT) 34, 833–837 (2010). https://doi.org/10.1007/s00264-009-0872-4

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  • DOI: https://doi.org/10.1007/s00264-009-0872-4

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