Peter AJ de Leeuw together with Roel PM Hendrickx share first authorship.
The presented study was performed to evaluate the midterm clinical and radiological results and complication rates of the first 40 patients with an ankle fusion through a posterior arthroscopic approach.
Forty consecutive patients with end-stage post-traumatic ankle osteoarthritis were treated with posterior arthroscopic ankle fusion. All patients were assessed clinically as well as radiologically with a minimum follow-up of 2 years. The Foot and Ankle Ability Measure (FAAM) and Foot Function Index (FFI) were used to assess clinical improvement.
Clinical fusion was achieved in 40 patients within 3 months (100 %), and radiological fusion was achieved in 40 patients at 12 months. Two screw mal-placements occurred. Both complications were solved following revision surgery. A significant improvement was noted for both the FAAM [median 38 (range 17–56) to 63 (range 9–84)] and FFI scores [median 66 (range 31–89) to 32 (range 11–98)] for all 40 patients.
The posterior arthroscopic ankle fusion is an effective and safe treatment option for end-stage post-traumatic ankle osteoarthritis at midterm follow-up.
Prospective cohort study, Level IV.
Collman DR, Kaas MH, Schuberth JM (2006) Arthroscopic ankle arthrodesis: factors influencing union in 39 consecutive patients. Foot Ankle Int 27:1079–1085 PubMed
Ferkel RD, Hewitt M (2005) Long-term results of arthroscopic ankle arthrodesis. Foot Ankle Int 26:275–280 PubMed
Kerkhoffs GMMJ, Hendrickx RPM, Mallee W, de Leeuw PAJ, van Dijk CN (2014) Arthroscopic ankle fusion: the posterior approach. Orthop Knowl Online J 12(3)
Kim HN, Jeon JY, Noh KC, Kim HK, Dong Q, Park YW (2014) Arthroscopic ankle arthrodesis with intra-articular distraction. Foot Ankle Surg 53:515–518 CrossRef
Martin RL, Irrgang JJ, Burdett RG, Conti SF, van Swearingen JM (2005) Evidence of validity for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int 26:968–983 PubMed
Myerson MS, Quill G (1991) Ankle arthrodesis. A comparison of an arthroscopic and an open method of treatment. Clin Orthop Relat Res 268:84–95 PubMed
Peterson KS, Lee MS, Buddecke DE (2010) Arthroscopic versus open ankle arthrodesis: a retrospective cost analysis. Foot Ankle Surg 49:242–247 CrossRef
van Dijk CN, de Leeuw PA, Scholten PE (2009) Hindfoot endoscopy for posterior ankle impingement. Surgical technique. J Bone Joint Surg Am 91(Suppl 2):287–298 PubMed
Vazquez AA, Lauge-Pedersen H, Lidgren L, Taylor M (2003) Finite element analysis of the initial stability of ankle arthrodesis with internal fixation: flat cut versus intact joint contours. Clin Biomech 18:244–253 CrossRef
- Midterm results of posterior arthroscopic ankle fusion
Peter A. J. de Leeuw
Roel P. M. Hendrickx
C. Niek van Dijk
Sjoerd S. Stufkens
Gino M. M. J. Kerkhoffs
- Springer Berlin Heidelberg
Neu im Fachgebiet Orthopädie und Unfallchirurgie
Mail Icon II