Die „Beckenkammspan-Interpositionsarthrodese“ des oberen Sprunggelenks

Abstract

Between January 2002 and January 2004 this technique was used in five patients with extensive bone defects (four women, one man, average age 57 years [42-77 years]). No intra- or early postoperative complications. The AOFAS (American Orthopedic Foot and Ankle Society) Score was improved from 23 points preoperatively to 76 points postoperatively (average follow-up time of 25 months). Two patients developed a nonunion and underwent a revision with an ankle arthrodesis nail. A valgus malposition after arthrodesis in one patient was corrected with a supramalleolar osteotomy.

Limb Salvage Reconstruction of the Ankle with Fusion and Simultaneous Tibial Lengthening Using the Ilizarov/Taylor Spatial Frame

“…Large shoe lifts are difficult to manage and poorly tolerated, and compliance is low. The use of structural allografts with internal or external fixation has been advocated to reestablish length [17–19]. Problems with graft collapse, infection, and nonunion accompany this technique.…”

Radiographic Analysis of Wedge Allograft Correction of Angular Malalignment in Ankle Fusion

“…10 Similar to our study, Vienne published a small series of patients treated with autograft interposition arthrodesis. 15 Five patients were treated with iliac crest autograft interposition during ankle arthrodesis to correct deformity. Fixation was obtained with three screws.…”

“…4 Since the first description of ankle arthrodesis in 1879, more than 30 techniques have been reported to achieve rates of successful fusion ranging from 80% to 100%. 1,5,7,8,10,11,15 One such technique is the use of interposition bone graft to correct coronal and sagittal malalignment. Use of allograft bone in foot and ankle surgery is an accepted practice in many reconstructive scenarios.…”