Ankle Fusion by Screws

  • Matteo Guelfi
  • Jordi Vega
  • Francesc Malagelada
  • Miquel Dalmau-Pastor
  • Marco G. B. Guelfi


A variety of operative approaches and methods of fixation have been described for ankle arthrodesis. Arthroscopic ankle arthrodesis (AAA) has demonstrated to be an effective option with high fusion rates and minimal complications. In comparison to open surgery, arthroscopic techniques demonstrated quicker time to union with equivalent or higher union rates and faster recovery. Shorter hospital stays and lower costs are also in favor of arthroscopic procedures. The aim of this chapter is to describe the surgical technique of anterior arthroscopic ankle fusion using screws, its indications, and limits.


Ankle osteoarthritis Ankle arthroscopic fusion Ankle arthroscopic arthrodesis Ankle arthrodesis Ankle arthroscopy Anterior ankle arthroscopy Ankle fusion with screws Screws 

Supplementary material

Video 23.1

Surgical procedure (MP4 154,525 kb)


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Matteo Guelfi
    • 1
    • 2
    • 3
  • Jordi Vega
    • 4
    • 5
    • 6
  • Francesc Malagelada
    • 7
  • Miquel Dalmau-Pastor
    • 4
    • 5
    • 8
  • Marco G. B. Guelfi
    • 1
    • 2
  1. 1.Foot and Ankle UnitClinica MontallegroGenoaItaly
  2. 2.Department of Orthopaedic Surgery “Gruppo Policlinico di Monza”Clinica Salus of Alessandria and Ospedale SM Misericordia of AlbengaAlbengaItaly
  3. 3.Human Anatomy and Embryology Unit, Department of Morphological SciencesUniversitad Autònoma de BarcelonaBarcelonaSpain
  4. 4.Human Anatomy and Embryology Unit, Department of Pathology and Experimental TherapeuticsUniversity of BarcelonaBarcelonaSpain
  5. 5.GRECMIP-MIFAS (Groupe de Recherche et d’Étude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society)MerignacFrance
  6. 6.Foot and Ankle UnitiMove Tres TorresBarcelonaSpain
  7. 7.Department of Trauma and Orthopaedic SurgeryRoyal London Hospital, Barts Health NHS TrustLondonUK
  8. 8.Vilamèdic Medical CenterSanta Coloma de GramanetBarcelonaSpain

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