Acta Chir Orthop Traumatol Cech. 2020; 87(4):225-236 | DOI: 10.55095/achot2020/035

Ankle Arthrodesis - a Review of Current Techniques and ResultsCurrent concepts review

E. MANKE1, N. YEO ENG MENG2, S. RAMMELT1,*
1 University Center of Orthopaedics & Traumatology, University Hospital Carl Gustav Carus, Dresden, Germany
2 SingHealth Duke National University of Singapore, Academic Medical Centre, Singapore

Ankle arthrodesis continues to be the golden standard in the treatment of end-stage ankle arthritis. Meticulous soft tissue handling, correct positioning of the foot, and stable fixation are crucial for obtaining a favorable result. With current techniques, mostly internal fixation with screws or plates, union rates between 87 and 100% are reported. Adjacent joint arthritis remains a concern in long-term follow-up, but does not always become symptomatic. It is pre-existing in a substantial number of cases and associated with fusion in less than optimal position, particularly equinus. With arthroscopic arthrodesis techniques, wound complications and scarring can be further reduced while obtaining similar fusion rates and equivalent, if not better, functional results when compared with open techniques.

Keywords: ankle, hindfoot, fusion, screws, plate, anterior approach, transfibular

Published: August 1, 2020  Show citation

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MANKE E, YEO ENG MENG N, RAMMELT S. Ankle Arthrodesis - a Review of Current Techniques and Results. Acta Chir Orthop Traumatol Cech. 2020;87(4):225-236. doi: 10.55095/achot2020/035. PubMed PMID: 32940217.
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