Ankle Arthrodesis

Dong-Il Chun; Sung Hun Won

doi:10.14193/jkfas.2018.22.1.1

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Chun and Won: Ankle Arthrodesis

Review Article

Journal of Korean Foot and Ankle Society 2018; 22(1): 1-7.

Published online: 16 March 2018

DOI: https://doi.org/10.14193/jkfas.2018.22.1.1

Ankle Arthrodesis

Dong-Il Chun

, Sung Hun Won

Department of Orthopedics, Soonchunhyang University Seoul Hospital, Seoul, Korea.

Corresponding Author: Dong-Il Chun. Department of Orthopedics, Soonchunhyang University Seoul Hospital, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Korea. Tel: 82-2-709-9250, Fax: 82-2-710-3191, orthochun@gmail.com

Received 31 January 2018 Revised 24 February 2018 Accepted 26 February 2018

Korean Foot and Ankle Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ankle arthrodesis is a common and standard treatment for patients with end-stage ankle arthritis. The surgical goals of ankle arthrodesis are to obtain bony union between the tibia and talus with adequate alignment, and provide a pain-free plantigrade foot for weightbearing activities. To achieve successful fusion, the surgeon should closely examine the patient's factors before surgery, particularly the following: adjacent arthritis and deformity, infection, avascular necrosis of talus, Charcot arthropathy, and rheumatoid arthritis. Recently, ankle arthroplasty has been reported to provide satisfactory clinical results. On the other hand, long-term follow-up results are still lacking, and considering the various complications of arthroplasty, ankle arthrodesis is still the primary surgical treatment for advanced arthritis of the ankle joint.

Keywords: Ankle, Arthrodesis

Figures and Tables

Figure 1

An ankle arthrodesis was done using three 6.5 mm cannullated screws fixation. An ankle arthrodesis with three screws has greater mechanical strength than two screws. (A) Lateral view. (B) Anteroposterior view.

Figure 2

This picture shows the anterior approach. The distal tibia and ankle mortise can be completely exposed and the talus can be exposed to the neck, making it very easy to perform the technique on the fixation surface.

Figure 3

This picture shows the lateral transfibular approach. This approach is the most commonly used method for ankle arthrodesis.

Figure 4

This picture shows the arthroscopic view of the Kirschner wires. The advantage of this technique are that small incisions are possible, minimizing the risk of skin scarring, wounds, and postoperative infection, and preserving the distal fibula to preserve the peroneal artery.

Notes

^{Financial support} None.

^{Conflict of interest} None.

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ORCID iDs: Dong-Il Chun
https://orcid.org/0000-0001-7255-8984
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