Malunion and Nonunion in Foot and Ankle Surgery

Chiodo, Christopher P.; Cicchinelli, Luke D.; Kadakia, Anish R.; Schuberth, John M.; Weil, Lowell

doi:10.1177/1938640010376036

Cited by 2 publications

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“…Common complications of ankle arthrodesis are non-union, malunion and adjacent joint arthritis especially at the Chopart and subtalar joint [12,15,[22][23][24][25]. An overall non-union rate of 22.6% (range 0-41%) was reported by Wheeler et al in his review of 30 publications [24].…”

Section: Introductionmentioning

confidence: 85%

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Ankle Arthritis: An Evolution from Arthrodesis to Joint and Mobility Preservation

Tan¹

2013

Orthop Muscul Syst

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Ankle arthritis is a debilitating condition. It can disrupt physical function and quality of life. Non surgical treatment includes pharmacological agents and orthoses. Surgical options range from arthrodesis to joint preservation techniques. Ankle arthrodesis is a reliable and effective treatment of choice for advanced ankle arthritis but has its limitations. Total ankle arthroplasty is fast gaining renewed interest as longer term outcome studies show good results coupled with improved implant and instrumentation designs. Osteotomies and arthroscopic debridement are increasingly popular techniques that are useful for joint preservation. Joint distraction arthroplasty and osteochondral allografting are also showing some promise. This article reviews the impact of ankle arthritis and treatment strategies available from joint sacrificing surgery to joint and mobility preservation.

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Section: Introductionmentioning

confidence: 85%

“…Malalignment of the ankle during fixation often produces mal-union in varus or valgus with equinus. Following that, several types of osteotomies can be applied to correct such malunited ankle arthrodesis if required but primary alignment should be observed prior to internal fixation to best avoid this complication [25].…”

Section: Introductionmentioning

confidence: 99%

Ankle Arthritis: An Evolution from Arthrodesis to Joint and Mobility Preservation

Tan¹

2013

Orthop Muscul Syst

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Arthrodesis of the first metatarsophalangeal joint using an intraosseous fixation device

Tytgat¹,

Wuite²,

Matricali³

2022

Acta Orthop Belg

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The complication rate for an arthrodesis of the first metatarsophalangeal joint remains high. To improve results, we used a complete intraosseous fixation device (IOFIX) with proposed biomechanical advantages. Our hypothesis is that this technique has at least an equal union rate and less hardware irritation compared to other techniques. Seventy procedures were performed in 55 patients. Average follow-up was 24.5 months. All patients returned to follow-up after 6 weeks and were evaluated for union. Fifty-nine feet (84%) completed full follow- up. Union occurred in 62 of 70 feet (88.5%). Eight feet had nonunion at 1 year follow-up. Average time to fusion was 51 days. Three of 59 feet had malunion. No hardware removal was necessary. In conclusion, an MTP1 arthrodesis using IOFIX provides consistent and good functional outcomes. Due to the low-profile design, no hardware removal was necessary. However, union rates seem slightly lower compared to other techniques.

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Malunion and Nonunion in Foot and Ankle Surgery

Cited by 2 publications

References 0 publications

Ankle Arthritis: An Evolution from Arthrodesis to Joint and Mobility Preservation

Ankle Arthritis: An Evolution from Arthrodesis to Joint and Mobility Preservation

Arthrodesis of the first metatarsophalangeal joint using an intraosseous fixation device

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