Screw fixation for ankle arthrodeses

Thermann, Hajo; Huefner, Tobias; Schratt, H.-E.; Gliński, S; Roehler, Anja; Tscherne, H.

doi:10.1046/j.1460-9584.1999.00160.x

Cited by 10 publications

(3 citation statements)

References 27 publications

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“…Microfracture was chosen because of the young age of the patients (31, 35 and 44 years) and their request for a procedure less invasive than ankle arthrodesis or total ankle arthroplasty. 37,38 Advantages of microfracture over other techniques such as abrasion or drilling include the avoidance of thermal damage 23 and access to all defects without more invasive steps such as transtibial drilling and osteotomy of the medial malleolus. 1,10 With the use of swan-neck awls, all microfractures can be placed perpendicular to the surface of the subchondral bone plate, which may be important for homogenous coverage by the clot.…”

Section: Discussionmentioning

confidence: 99%

Results of Microfracture in the Treatment of Articular Cartilage Defects of the Talus

Becher¹,

Thermann²

2005

Foot Ankle Int.

182

142

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Section: Discussionmentioning

confidence: 99%

Results of Microfracture in the Treatment of Articular Cartilage Defects of the Talus

Becher¹,

Thermann²

2005

Foot Ankle Int.

182

142

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“…Long-term complications include secondary arthrosis of the subtalar joints (Morrey et al 1980, Demetriades et al 1998, Thermann et al 1999.…”

Section: Thesis At a Glance Clinical Backgroundmentioning

confidence: 99%

Percutaneous arthrodesis

Lauge-Pedersen

2003

Acta Orthopaedica Scandinavica

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“…Langzeitergebnisse über 10 Jahre und in größerer Zahl existieren zum jetzigen Zeitpunkt nach unserem Kenntnisstand nicht. Obwohl einzelne ermutigende Ergebnisse in der Langzeitphase (<10 Jahre) vorliegen, zeigen andere Studien sowohl im kurzfristigen als auch im mittelfristigen Follow-up, dass erhebliche Probleme mit der Fusion des oberen Sprunggelenks verbunden sind [60,61,62].…”

Section: Arthrodese Des Osgunclassified

Endoprothetischer Ersatz des oberen Sprunggelenks

Thermann¹,

Saltzman

2002

Der Unfallchirurg

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Results after total ankle arthroplasty in the 1970s and 1980s were poor. The outcomes of these surgeries deteriorated rather dramatically with time. Causes of failure were multifactorial, but the two main reasons for failure were constrained designs and cement fixation. Today, the design of total ankle arthroplasty is unconstrained and the fixation is uncemented. Total ankle arthroplasties are considered technically demanding procedures, with relatively high early postoperative complication rates. As yet, the ideal total ankle patient remains to be defined. Good alignment and ligamentous stability are essential. Osteonecrosis and profound osteoporosis are associated with poor results due to problems with bony fixation. Patients should be advised that the implant may fail and that this may require further surgery, including the potential need for an ankle fusion. The results of ankle fusions, although usually initially good, seem to deteriorate with time. Not uncommonly, patients frequently develop peritarsal degenerative joint disease several years after an ankle arthrodesis. Because of the associated pain and functional limitations that can follow ankle fusion, efforts to develop a workable total ankle replacement continue. At present, the long-term results of new designs are unknown. Today, total ankle arthroplasty should be limited to centers where patient volume and infrastructure allows critical review and prospective clinical trials to determine the factors leading to successful and unsuccessful outcomes.

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Screw fixation for ankle arthrodeses

Cited by 10 publications

References 27 publications

Results of Microfracture in the Treatment of Articular Cartilage Defects of the Talus

Results of Microfracture in the Treatment of Articular Cartilage Defects of the Talus

Percutaneous arthrodesis

Endoprothetischer Ersatz des oberen Sprunggelenks

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