Open versus arthroscopic ankle arthrodesis in high-risk patients: a comparative study

Martinelli, Nicolò; Bianchi, Alberto; Raggi, Giorgio; Parrini, M.; Cerbone, Vincenzo; Sansone, Valerio

doi:10.1007/s00264-021-05233-9

Cited by 8 publications

(1 citation statement)

References 37 publications

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“…Additionally, the use of reamers during joint surface preparation enhances the preservation of bone contours, thereby facilitating fusion between the bone ends and joint surfaces. The combination of minimal incisions and high fusion rates accelerates the recovery of foot and ankle functionality in patients and reduces the duration of pain experienced by the patients (Martinelli et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

An Assessment of Ankle Function, Oxidative Damage, and Inflammatory Factor Levels in Minimally Invasive Ankle Joint Fusion Surgery for the Treatment of Traumatic Ankle Osteoarthritis

Chen,

Tan,

2024

Int. J. Morphol.

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Section: Discussionmentioning

confidence: 99%

An Assessment of Ankle Function, Oxidative Damage, and Inflammatory Factor Levels in Minimally Invasive Ankle Joint Fusion Surgery for the Treatment of Traumatic Ankle Osteoarthritis

Chen,

Tan,

2024

Int. J. Morphol.

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Outcomes of ankle arthrodesis in adult patients with ankle osteoarthritis in Kashin-Beck disease

Cao,

Wang,

Ding

et al. 2024

International Orthopaedics (SICOT)

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Irritation from metalwork after ankle arthrodesis fixed using screws: a proportional meta-analysis and systematic review

Izzo

Sgadari

Santagata

et al. 2023

Arch Orthop Trauma Surg

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Objective Ankle arthrodesis (AA) is often fixed using cannulated screws. The irritation from metalwork is a relatively common complication, but there is no consensus regarding the need to remove the screws on a systematic basis. The aim of this study was to determine (1) the proportion of screws removed after AA and (2) whether predictors of screw removal could be identified. Methods This PRISMA-compliant systematic review was part of a larger previous protocol registered on the PROSPERO platform. Multiple databases were searched including studies in which patients undergone AA using screws as exclusive fixation method were followed. Data were harvested regarding the cohort, the study design, the surgical technique, the nonunion and complication rate at the longest follow-up. Risk of bias was assessed using the modified Coleman Methodology Score (mCMS). Results Forty-four series of patients from thirty-eight studies (1990 ankles, 1934 patients) were selected. The average follow-up was 40.8 months (range 12–110). In all studies, hardware was removed due to symptoms reported by patients and related to the screws. The pooled proportion of removal of metalwork was 3% (95% CI 2–4). The pooled proportion of fusion was 96% (95%CI 95–98), while the pooled proportion of complications and reoperations (excluding the removal of metalwork) stood at 15% (95% CI 11–18) and 3% (95% CI 2–4), respectively. The mean mCMS (50.8 ± 8.1, range 35–66) revealed only an overall fair quality of studies. The univariate analysis and the multivariate model showed that the year of publication (R = − 0.004; p = 0.01) and the number of screws (R = 0.08; p = 0.01) were associated with the screw removal rate. Specifically, we found that over time the removal rate decreased by 0.4% per year and that the use of three screws instead of two reduced the risk of removal of metalwork by 8%. Conclusions In this review, removal of metalwork after ankle arthrodesis using cannulated screws was needed in 3% of cases at an average follow-up of 40.8 months. It was indicated only in case of symptoms related to soft tissue irritation from screws. The use of three screws was paradoxically related to a reduced risk of removal of screws as compared to two-screw constructs. Level of evidence Level IV, systematic review of Level IV.

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Open versus arthroscopic ankle arthrodesis in high-risk patients: a comparative study

Cited by 8 publications

References 37 publications

An Assessment of Ankle Function, Oxidative Damage, and Inflammatory Factor Levels in Minimally Invasive Ankle Joint Fusion Surgery for the Treatment of Traumatic Ankle Osteoarthritis

An Assessment of Ankle Function, Oxidative Damage, and Inflammatory Factor Levels in Minimally Invasive Ankle Joint Fusion Surgery for the Treatment of Traumatic Ankle Osteoarthritis

Outcomes of ankle arthrodesis in adult patients with ankle osteoarthritis in Kashin-Beck disease

Irritation from metalwork after ankle arthrodesis fixed using screws: a proportional meta-analysis and systematic review

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