Abstract
A 46-year-old male with a history of traumatic ankle injury 30 years ago presents to the office with worsening ankle pain over the past year. He is found to have post-traumatic tibiotalar arthritis refractory to conservative treatment. Given the patient’s young age and high activity level, tibiotalar arthrodesis was chosen because of the procedure’s ability to improve pain and maintain mobility through adjacent joints. This case discusses tibiotalar arthrodesis using medial and lateral approaches to the ankle and fixation with cannulated cancellous screws. This procedure has high success rates for treating end stage tibiotalar arthritis and has low rates of reoperation.
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References
Ahlberg A, Henricson AS. Late results of ankle fusion. Acta Orthop Scand. 1981;52:103–5.
Anderson JG, Coetzee JC, Hansen ST. Revision ankle fusion using internal compression arthrodesis with screw fixation. Foot Ankle Int. 1997;18:300–9.
Buchner M, Sabo D. Ankle fusion attributable to posttraumatic arthrosis: a long-term followup of 48 patients. Clin Orthop Relat Res. 2003:155–64.
Cobb TK, Gabrielsen TA, Campbell DC 2nd, Wallrichs SL, Ilstrup DM. Cigarette smoking and nonunion after ankle arthrodesis. Foot Ankle Int. 1994;15:64–7.
Fitzgibbons TC. Arthroscopic ankle debridement and fusion: indications, techniques, and results. Instr Course Lect. 1999;48:243–8.
Jackson A, Glasgow M. Tarsal hypermobility after ankle fusion--fact or fiction? J Bone Joint Surg Br. 1979;61-b:470–3.
Kats J, van Kampen A, de Waal-Malefijt MC. Improvement in technique for arthroscopic ankle fusion: results in 15 patients. Knee Surg Sports Traumatol Arthrosc. 2003;11:46–9.
Kollig E, Esenwein SA, Muhr G, Kutscha-Lissberg F. Fusion of the septic ankle: experience with 15 cases using hybrid external fixation. J Trauma. 2003;55:685–91.
Marcus RE, Balourdas GM, Heiple KG. Ankle arthrodesis by chevron fusion with internal fixation and bone-grafting. J Bone Joint Surg Am. 1983;65:833–8.
Marsh JL, Rattay RE, Dulaney T. Results of ankle arthrodesis for treatment of supramalleolar nonunion and ankle arthrosis. Foot Ankle Int. 1997;18:138–43.
Moran CG, Pinder IM, Smith SR. Ankle arthrodesis in rheumatoid arthritis. 30 cases followed for 5 years. Acta Orthop Scand. 1991;62:538–43.
Said E, Hunka L, Siller TN. Where ankle fusion stands today. J Bone Joint Surg Br. 1978;60-b:211–4.
Saltzman CL, Salamon ML, Blanchard GM, Huff T, Hayes A, Buckwalter JA, Amendola A. Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J. 2005;25:44–6.
Weatherall JM, Mroczek K, McLaurin T, Ding B, Tejwani N. Post-traumatic ankle arthritis. Bull Hosp Jt Dis. 2013;71:104–12.
Nihal A, Gellman RE, Embil JM, Trepman E. Ankle arthrodesis. Foot Ankle Surg. 2008;14:1–10.
Goetzmann T, Mole D, Jullion S, Roche O, Sirveaux F, Jacquot A. Influence of fixation with two vs. three screws on union of arthroscopic tibio-talar arthrodesis: comparative radiographic study of 111 cases. Orthop Traumatol Surg Res. 2016;102:651–6.
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MacDougall, M.S., Gittings, D.J., Ahn, J. (2018). Post-traumatic Ankle Arthropathy Treated with Arthrodesis. In: Tejwani, N. (eds) Fractures of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-319-60456-5_22
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DOI: https://doi.org/10.1007/978-3-319-60456-5_22
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