Arthroscopic Ankle Arthrodesis

Leucht, Anna-Kathrin; Veljkovic, Andrea

doi:10.1016/j.fcl.2021.11.008

Cited by 6 publications

(4 citation statements)

References 48 publications

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“…Before deciding on the surgical treatment of end-stage posttraumatic ankle osteoarthritis, the underlying etiology should be defined thoroughly since, in contrast to primary osteoarthritis, secondary osteoarthritis accounts for the majority of symptomatic osteoarthritis in adults [3]. The recent treatment of ankle joint osteoarthritis with arthrodesis surgery is guided by basic arthrodesis principles, and regarding ankle arthrodesis surgery, both open and closed approaches for the resection methods of the chondral structure are well described [14,15]. Cannulated compression screws, plate systems, arthrodesis nails, and external fixators are used as fixation methods in arthrodesis surgery [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…The recent treatment of ankle joint osteoarthritis with arthrodesis surgery is guided by basic arthrodesis principles, and regarding ankle arthrodesis surgery, both open and closed approaches for the resection methods of the chondral structure are well described [14,15]. Cannulated compression screws, plate systems, arthrodesis nails, and external fixators are used as fixation methods in arthrodesis surgery [15][16][17]. The surgeon decides on the technique to be used in the arthrodesis surgery based on a detailed preoperative evaluation considering the condition of the soft tissue around the joint, bone quality, and deformity.…”

Section: Introductionmentioning

confidence: 99%

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Anterior Plate-Supported Cannulated Screw Surgery for Ankle Arthrodesis: Clinical and Radiologic Results in Patients with Trauma-Related End-Stage Ankle Osteoarthritis

Gökmen,

Uluöz,

Dülgeroğlu

2024

Med Sci Monit

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Background:This retrospective study included 31 patients from 2 centers in Türkiye with posttraumatic ankle osteoarthritis treated with anterior tibiotalar arthrodesis using an anterior plate and cannulated screw fixation, with 6 months of follow-up. Material/Methods:In this bi-center study, conducted between January 2018 and July 2022, we retrospectively reviewed the digital records of 31 patients with end-stage posttraumatic ankle osteoarthritis who were treated with anterior tibiotalar arthrodesis surgery using 2 or 3 cannulated screws and the anterior plating technique. Data on age, gender, comorbidities, and smoking were recorded, as were operative technique and graft use. Union characteristics, complications, visual analog scale (VAS) results, and Maryland functional scoring were assessed preoperatively and at the 6-month follow-up visit. Results:The mean age of the 31 (n=13 male, n=18 female) patients was 55.5 (19-82) years. The union findings were good in 26 (83.9%) of the patients and late in 3 (9.7%) of them. Nonunion was seen in 2 (6.5%) patients.Complications were observed in 7 (22.6%) patients. Union formation was statistically significantly prolonged among the cases with complications (P=0.002). The smoking rate was significantly higher in patients encountering complications (P=0.001). Among cases with complications, the VAS and Maryland scores recorded in the postoperative sixth month were significantly higher (P=0.027, P=0.018, respectively). The mean union time was 13.5±6.5 weeks among all of the patients. Conclusions:Our study showed that cannulated screw fixation, strengthened with the common and easy-to-supply anterior reconstruction plating technique, had high fixation power and good functional results in patients with endstage posttraumatic ankle osteoarthritis.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anterior Plate-Supported Cannulated Screw Surgery for Ankle Arthrodesis: Clinical and Radiologic Results in Patients with Trauma-Related End-Stage Ankle Osteoarthritis

Gökmen,

Uluöz,

Dülgeroğlu

2024

Med Sci Monit

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“…For severe osteoarthritis (OA) of the ankle, arthrodesis for the ankle joint is frequently performed to relieve pain and obtain stability [ 1 ]. Despite the loss of ankle joint motion, activities of daily living improved with ankle arthrodesis from the preoperative level, with high satisfaction of patients.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of the Articular Surface in the Subtalar Joint by Osteochondral Autologous Transplantation After Failure of Tibiotalocalcaneal Fusion With a Retrograde Nail: A Case Report

Sumii,

Nakasa,

Ikuta

et al. 2023

Cureus

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Tibiotalocalcaneal arthrodesis (TTCA) using the intramedullary nail has been conducted for severe deformity of both ankle and subtalar joints. While good clinical outcomes have been reported for TTCA, its nonunion rate is relatively high. We report a case of a 65-year-old male with nonunion of the tibiotalar joint and destruction of the subtalar joint after TTCA using a retrograde intramedullary nail. For this patient, we conducted a salvage procedure for the subtalar joint along with revision surgery for the tibiotalar joint to achieve bone union. The intramedullary nail was removed and the tibiotalar joint was debrided. Two osteochondral plugs were harvested from the lateral aspect of the talus and transplanted to the subtalar joint. The tibiotalar joint was fixed using screws and staples, with bone grafting. Magnetic resonance imaging (MRI) at six months after surgery showed that the articular surface of the subtalar joint was flushed and the osteochondral plugs were united with the surrounding bone. At one year and three months after surgery, the pain in the tibiotalar and subtalar joints had completely disappeared. Plain radiographs revealed that bone union of the tibiotalar joint and joint space of the subtalar joint was maintained. Japanese Society for Surgery of the Foot (JSSF) hindfoot scale improved from 53 points to 84 points at the final follow-up. Reconstruction of the subtalar joint using osteochondral autologous transplantation is a useful technique for failure cases with nonunion of the tibiotalar and subtalar joints after TTCA.

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“…Open ankle arthrodesis has become the gold standard in operative treatment as it reliably alleviates joint pain and is able to correct deformities [4]. More recently, arthroscopic ankle arthrodesis has seen an increase in adoption as it avoids the morbidity associated with open procedures [11]. Many studies have examined the advantages of arthroscopic versus open ankle arthrodesis, with arthroscopic procedures showing lower complication rates, faster recoveries, and shorter hospital stays, among others [11].…”

Section: Introductionmentioning

confidence: 99%

Does Demineralized Bone Matrix Affect the Nonunion Rate in Arthroscopic Ankle Arthrodesis?

Schlickewei

Neumann

Yarar-Schlickewei

et al. 2022

JCM

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Demineralized bone matrix (DBM) has been shown to have positive effects on union rates in many orthopedic subspecialties; however, minimal evidence exists about bone graft substitutes in foot and ankle surgery. The purpose of this study is to compare nonunion rates in arthroscopic ankle arthrodesis in patients receiving DBM with those without. We hypothesized DBM to be associated with a decreased risk of nonunion. This retrospective review includes 516 consecutive ankle arthrodesis cases from March 2002 to May 2016. Of these, 58 ankles (56 patients) that underwent primary arthroscopic ankle arthrodesis met the inclusion criteria, and 31 of these ankles received DBM, while 27 did not. Nonunion was assessed by clinical examination and routine postoperative radiographs. If nonunion was suspected, a computed tomography (CT) scan was performed. The primary outcome measure was nonunion rate. Secondary outcome measures included wound complications, return to operating room (OR), and rate of postoperative deep vein thrombosis (DVT) or pulmonary embolism (PE). From the study cases, 58 were available for final follow-up. The average age was 55.9 years (±17.4), and mean follow-up was 43.0 months (range 6.3–119.4). There was no difference in nonunion rate in patients who received DBM (4/31, 12.9%) versus those who did not (4/27, 14.8%) (p = 0.83). Similarly, when comparing the two groups, there were no statistically significant differences in superficial wound complications (6.5% vs. 3.7%, p = 1.0) or rate of return to OR (29% or 0.037/person-years vs. 37% or 0.099/person-years; p = 0.20). No major complications including deep wound infections, DVTs, or PEs occurred. This is the largest study to directly compare nonunion rates and complications for patients receiving DBM versus those who did not in primary arthroscopic ankle arthrodesis. No significant association was found between DBM usage and risk of nonunion, wound complications, return to OR, or postoperative DVT or PE development.

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Arthroscopic Ankle Arthrodesis

Cited by 6 publications

References 48 publications

Anterior Plate-Supported Cannulated Screw Surgery for Ankle Arthrodesis: Clinical and Radiologic Results in Patients with Trauma-Related End-Stage Ankle Osteoarthritis

Anterior Plate-Supported Cannulated Screw Surgery for Ankle Arthrodesis: Clinical and Radiologic Results in Patients with Trauma-Related End-Stage Ankle Osteoarthritis

Reconstruction of the Articular Surface in the Subtalar Joint by Osteochondral Autologous Transplantation After Failure of Tibiotalocalcaneal Fusion With a Retrograde Nail: A Case Report

Does Demineralized Bone Matrix Affect the Nonunion Rate in Arthroscopic Ankle Arthrodesis?

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