Arthroscopic Ankle Arthrodesis: A 2-15 Year Follow-up Study

Jones, Christopher Robert; Wong, Eric; Applegate, Gregory R.; Ferkel, Richard D.

doi:10.1016/j.arthro.2017.11.031

Cited by 34 publications

(20 citation statements)

References 43 publications

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“…Arthroscopic ankle arthrodesis (AAA) for end-stage ankle osteoarthritis (OA) has been gaining popularity since it was first introduced in 1983. 2,5,13,17 Although many studies have reported that ankles with more than 15-degree deformity are contraindicated for AAA, 12,18 it has increasingly been performed in more varus-deformed ankle OA in recent years. 1,4,19 The importance of appropriate alignment of the ankle arthrodesis for long-term clinical success has been reported.…”

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confidence: 99%

Effect of Lateral Gutter Osteophyte Resection on Correction of Varus Deformity in Arthroscopic Ankle Arthrodesis

et al. 2020

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Background: Recently, arthroscopic ankle arthrodesis has been performed for moderate-to-severe varus-deformed ankle osteoarthritis. However, the effect of osteophyte resection in the lateral gutter in arthroscopic ankle arthrodesis has not been clarified. We hypothesized that a varus-deviated ankle with lateral gutter osteophytes can be corrected by osteophyte resection. Methods: Thirty-nine ankles of 38 patients were included. The mean age of patients was 70.0 (45-83) years. The patients were divided into the following groups: group with an osteophyte in the lateral gutter (osteophyte) and group with no osteophytes (nonosteophyte). Preoperative and postoperative tibiotalar angle, tibial plafond angle, and tibiotalar angle under valgus stress, as well as the Japanese Society for Surgery of the Foot (JSSF) ankle/hindfoot scale, were recorded. Twelve ankles underwent lateral gutter osteophyte resection, whereas the other 27 ankles did not require osteophyte resection. Results: Preoperative tibiotalar angle was higher in the osteophyte group than in the nonosteophyte group (21.8 vs 11.2 degrees, P = .01). The tibiotalar angle in the preoperative valgus stress imaging was higher in the osteophyte group (12.9 vs 5.7, P < .01). However, the postoperative tibiotalar angle was similar between the 2 groups (7.1 vs 5.4, P = .183). JSSF ankle/hindfoot scale improved in both groups. Conclusion: Lateral gutter osteophyte resection enabled correction of the varus malalignment in arthroscopic ankle arthrodesis. Level of Evidence: Level III, retrospective comparative series.

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confidence: 99%

Effect of Lateral Gutter Osteophyte Resection on Correction of Varus Deformity in Arthroscopic Ankle Arthrodesis

et al. 2020

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“…The FFI score improved from a mean of 87 (range, 78-93) to 24 (range, [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. The mean VAS score improved from 8 (range, 7-9) to 2 (range, 1-3) at final follow-up (Table 3).…”

Section: Resultsmentioning

confidence: 99%

Treatment of Severe Rigid Posttraumatic Equinus Deformity With Gradual Deformity Correction and Arthroscopic Ankle Arthrodesis

et al. 2021

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Background: Posttraumatic ankle equinus is associated with rigid deformity, poor skin condition, and multiple prior surgeries. Open acute correction has been described using osteotomies, talectomy, and arthrodesis, but concerns exist about skin complications, neurologic alterations, secondary limb discrepancy, and bone loss. Gradual correction using a multiplanar ring fixator and arthroscopic ankle arthrodesis (AAA) may decrease these complications. Methods: We retrospectively reviewed patients undergoing correction of posttraumatic rigid equinus with at least 1 year of follow-up after frame removal. The procedure consisted of percutaneous Achilles lengthening, gradual equinus correction using a multiplanar ring fixator, and AAA retaining the fixator in compression with screw augmentation. Frame removal depended on signs of union on the computed tomography scan. Visual analog scale (VAS) and Foot Function Index (FFI) scores were assessed as well as preoperative and postoperative x-rays. Complications were noted throughout the follow-up period. Results: Five patients were treated with a mean age of 35 years and mean follow-up of 31 months. Deformities were gradually corrected into a plantigrade foot over an average duration of 6 weeks. Union was achieved in all patients with a mean time of an additional 25 weeks, for a mean total frame time of 31 weeks. The mean preoperative tibiotalar angle was 151 degrees and was corrected to 115 degrees. FFI score improved from a mean of 87 to 24 and VAS from 8 to 2. Conclusion: Posttraumatic rigid equinus can be treated effectively using gradual correction followed by integrated AAA in a safe and reproducible manner. Patients in this series had excellent functional, radiological, and satisfaction results. Level of Evidence: Level IV, retrospective case series.

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“…50,76,117 Reported nonunion rates ranged from 0% to 36%, averaging around 8% with open techniques, with more recent series showing better results according to a recent review. 128 Many modern series tend to focus on arthroscopic fusions, which have demonstrated improved fusion rates and lower complications 34,56,93 and better functional outcomes. 122 A recent systematic review demonstrated improved clinical outcome scores, lower complication rates, lower length of hospital stay and lower blood loss with arthroscopic fusions compared to open fusions; however, union rate, reoperation rate, and surgical time were similar.…”

Section: Resultsmentioning

confidence: 99%

Ankle Arthritis

Veljkovic

Salat

et al. 2019

Foot & Ankle Orthopaedics

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Ankle arthritis is a major source of morbidity impacting a younger working age population than hip and knee arthritis. Unlike the hip and knee, more than 70% of ankle arthritis cases are post-traumatic, with the remainder being inflammatory or primary arthritis. Nonoperative treatment begins with lifestyle and shoe-wear modifications and progresses to bracing, physical therapy, anti-inflammatory medications, and intra-articular injections. Ankle arthrodesis and total ankle arthroplasty are the 2 main surgical options for end-stage ankle arthritis, with debridement, realignment osteotomy, and distraction arthroplasty being appropriate for limited indications.Level of Evidence:Level V, expert opinion.

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Arthroscopic Ankle Arthrodesis: A 2-15 Year Follow-up Study

Cited by 34 publications

References 43 publications

Effect of Lateral Gutter Osteophyte Resection on Correction of Varus Deformity in Arthroscopic Ankle Arthrodesis

Effect of Lateral Gutter Osteophyte Resection on Correction of Varus Deformity in Arthroscopic Ankle Arthrodesis

Treatment of Severe Rigid Posttraumatic Equinus Deformity With Gradual Deformity Correction and Arthroscopic Ankle Arthrodesis

Ankle Arthritis

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