Arthrodesis of the Infected Ankle and Subtalar Joint: Technique, Indications, and Results of 45 Consecutive Cases

Richter, Dirk; Hahn, Michael; Laun, R. A.; Ekkernkamp, Axel; Muhr, G.; Ostermann, P. A. W.

doi:10.1097/00005373-199912000-00013

Cited by 61 publications

(42 citation statements)

References 11 publications

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“…In majority of the cases these require a staged correction [48][49][50][51], first eliminating the infection and subsequently treating the nonunion. This involves an initial removal of hardware, together with resection of all the infected pseudarthrosis tissue along with debridement of the nonviable sclerotic osseous elements.…”

Section: Approach To Nonunionsmentioning

confidence: 99%

An Approach to the Failed Ankle Arthrodesis

Raikin

Rampuri

2008

Foot and Ankle Clinics

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Section: Approach To Nonunionsmentioning

confidence: 99%

An Approach to the Failed Ankle Arthrodesis

Raikin

Rampuri

2008

Foot and Ankle Clinics

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“…This is one of the unique advantages of Ilizarov fixator which reduces the burden on the society during the treatment period. 6,8 Resistance to bending, shear and torsion forces along with the dynamic axial compression permits weight bearing in the fixator construct. 1 In present study, the patients were able to return to their activities by 186 days.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Ilizarov assisted ankle arthrodesis

et al. 2018

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Background: Among the various techniques used for ankle arthrodesis, Ilizarov technique has various advantages along with the potential for treating complex and failed cases.Methods: Eleven cases were undertaken for ankle arthrodesis using the Ilizarov fixator. Two rings were applied along the tibia and one at the talus/calcaneum. The articular cartilage was denuded, and dynamic compression applied. The clinical, functional and radiological outcome were evaluated. The goal was a stable fusion with a well aligned foot.Results: The mean follow-up period was 95 weeks. Fusion was achieved in all cases with no major complication. Only one case had a residual deformity. The average time interval for the ankle fusion was 140.8±25.7 days. The postoperative modified American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot score was 67.5±9.6 points.Conclusions: Ilizarov assisted ankle arthrodesis aids in early weight bearing, better alignment, and has good functional outcomes even in cases with previously failed procedures. It has the advantage of postoperative readjustment of the arthrodesis without the need of any second procedure with no major complications.

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“…Es wurden eine Vielzahl von Operationsverfahren zur Erstellung der Arthrodesen [3,8,10,12] mit dem Ziel einer sicheren und raschen knöchernen Durchbauung sowie niedrigen Komplikationsraten bei höchst-möglichem Patientenkomfort [13] schiebbaren Verriegelungsbolzen wird in jedem Fall das Prinzip der dynamischen Osteosynthese verwirklicht [6].…”

Section: Diskussionunclassified

“…Die Pseudarthroserate der Schraubenarthrodesen wird mit 3,3-60% [1,4,11,12,14,15] angegeben. Die innerhalb eines 7-Jahres-Zeitraums erhobenen Befunde weisen für die Marknagelarthrodese eine primäre Durchbauungsrate von 76,4% auf.…”

Section: Diskussionunclassified