Anatomically Contoured Anterior Plating for Isolated Tibiotalar Arthrodesis: A Systematic Review

Kusnezov, Nicholas; Dunn, John C.; Koehler, Logan R.; Orr, Justin D.

doi:10.1177/1938640017700974

Cited by 15 publications

(12 citation statements)

References 16 publications

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“…The overall complication rate in our study was 43.8% (14/32), which was higher than the reported complication rate of 25% in a systematic review of anterior plating for isolated tibiotalar arthrodesis. 9 The majority of the complications in the present study were minor and are established risks of general foot and ankle surgery, including DPN neuritis (6/32, 18.8%) and wound dehiscence (3/32, 9.4%). Complications specific to anterior ankle arthrodesis with plate fixation include hardware prominence and proximal stress fracture.…”

Section: Discussionmentioning

confidence: 53%

“…8,19 Two patients (2/32, 6.2%) underwent reoperation for symptomatic hardware removal, which is consistent with previous studies. 9 We did not identify any stress fractures proximal to the plate. Despite 20 patients (20/32, 62.5%) having 3 or more risk factors for nonunion, only 2 patients developed a nonunion (2/32, 6.3%).…”

Section: Discussionmentioning

confidence: 83%

“…Although most of the previous literature on anterior ankle plating utilized the AOFAS (American Orthopaedic Foot & Ankle Society) score to report patient outcomes, it has not yet been validated. 9 Therefore, we selected the AOS because it has been validated for use in patients with symptomatic ankle arthritis. 19…”

Section: Discussionmentioning

confidence: 99%

“…4,5,7 Excellent functional outcomes and low rates of nonunion have been reported with anterior plate fixation for isolated tibiotalar arthrodesis. 8-10 The union rate with anterior plate fixation ranges from 90% to 97.6%. 8-10 However, many of these studies only used radiographs to evaluate the fusion mass.…”

Section: Introductionmentioning

confidence: 99%

“…8-10 The union rate with anterior plate fixation ranges from 90% to 97.6%. 8-10 However, many of these studies only used radiographs to evaluate the fusion mass.…”

Section: Introductionmentioning

confidence: 99%

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Ankle Arthrodesis With Anterior Plate Fixation in Patients at High Risk for Nonunion

Steginsky

Suhling

Vora

2019

Foot & Ankle Specialist

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Between January 1, 2011, and January 1, 2017, an orthopaedic foot and ankle surgeon performed tibiotalar arthrodesis on 221 patients. Thirty-two were included in this study. Inclusion criteria included patients with at least one risk factor for nonunion and/or malunion, isolated anterior ankle arthrodesis with plate fixation, patients older than 18, and a minimum of 1-year follow-up. Risk factors were avascular necrosis of the talus, severe segmental bone defect, smoking, inflammatory arthropathy, coronal deformity greater than 15°, diabetes mellitus, septic nonunion, failed ankle arthrodesis, and body mass index greater than 35. Functional outcome questionnaires (Ankle Osteoarthritis Score [AOS] and Foot Function Index [FFI]) were collected at the latest visit or by phone. Twenty-six (26/32, 81.2%) patients included in the study had computed tomography images available for review at an average of 3.2 months after surgery. The rate of successful arthrodesis was 93.8% (30/32) at an average of 78 days. Overall, 14 patients (14/32, 43.8%) developed a postoperative complication, including 1 patient that had a delayed nonunion and 2 patients that proceeded to nonunion. Twenty-three patients (23/32, 71.9%) completed the functional outcome questionnaires at an average of 26.8 months. Mean AOS and FFI scores improved significantly postoperatively ( P < .001). Sagittal tibiotalar and coronal tibiotalar alignment improved significantly in patients with severe preoperative deformity ( P < .001). Tibiotalar arthrodesis with anterior plate fixation in a high-risk cohort results in high union rates and significantly improved functional outcomes. Levels of Evidence: Therapeutic, Level IV: Prospective, comparative trial.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…8-10 The union rate with anterior plate fixation ranges from 90% to 97.6%. 8-10 However, many of these studies only used radiographs to evaluate the fusion mass.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ankle Arthrodesis With Anterior Plate Fixation in Patients at High Risk for Nonunion

Steginsky

Suhling

Vora

2019

Foot & Ankle Specialist

View full text Add to dashboard Cite

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The Ankle Joint

DeVries

Scharer

2023

Clinics in Podiatric Medicine and Surgery

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Deep peroneal neuropathy diagnosed by musculoskeletal ultrasound after ankle arthrodesis with an anterior plate: a case report

Stone

Dao

Chandra

et al. 2022

Foot & Ankle Surgery: Techniques, Reports & Cases

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Anatomically Contoured Anterior Plating for Isolated Tibiotalar Arthrodesis: A Systematic Review

Abstract: Level IV: Systematic Review.

Cited by 15 publications

References 16 publications

Ankle Arthrodesis With Anterior Plate Fixation in Patients at High Risk for Nonunion

Ankle Arthrodesis With Anterior Plate Fixation in Patients at High Risk for Nonunion

The Ankle Joint

Deep peroneal neuropathy diagnosed by musculoskeletal ultrasound after ankle arthrodesis with an anterior plate: a case report

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