TECHNIQUE AND CLINICAL-EVALUATION OF ARTHROSCOPIC ANKLE ARTHRODESIS

被引:52
作者
CORSO, SJ
ZIMMER, TJ
机构
[1] ORTHOPAED RES VIRGINIA,RICHMOND,VA 23229
[2] TUCKAHOE ORTHOPAED ASSOCIATES LTD,RICHMOND,VA
来源
ARTHROSCOPY | 1995年 / 11卷 / 05期
关键词
ANKLE; ARTHRODESIS; FUSION; ARTHROSCOPY; OSTEOARTHRITIS;
D O I
10.1016/0749-8063(95)90136-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Arthroscopic ankle arthrodesis has recently been shown to be an effective procedure with significant advantages when properly indicated. We report on the results of arthroscopic ankle fusion in 16 patients with idiopathic or posttraumatic osteoarthritis and rheumatoid disease. We used standard ankle arthroscopic technique and simple noninvasive distraction with hanging weights. All 16 patients had a successful fusion at an average of 9.5 weeks postoperatively. Complications included 1 lateral cutaneous neuroma, and 1 patient who required removal of screws because of superficial pain. Postoperative evaluation showed complete resolution of pain in 14 of 16 patients and significant improvement in gait. Fourteen of 16 patients were completely satisfied with the result and cosmesis, and only 1 patient required shoe modification. These results substantiate previous reports that arthroscopic ankle arthrodesis is successful, and where indicated, has significant advantages over the open technique.
引用
收藏
页码:585 / 590
页数:6
相关论文
共 27 条
[1]  
Albert, Zur resektion des Kniegelenkes, Wien Med Press, 20, pp. 705-708, (1879)
[2]  
Charnley, Compression arthrodesis of the ankle and the shoulder, J Bone Joint Surg Br, 33, pp. 180-191, (1959)
[3]  
Heinig, Dupuy, Anterior dowel fusion of the ankle, Foot science, pp. 150-155, (1976)
[4]  
Morgan, Hankey, Bailey, Kaufer, Long-term results of tibiotalar arthrodesis, J Bone Joint Surg Am, 67, pp. 546-549, (1985)
[5]  
Staples, Posterior arthrodesis of the ankle and subtarsal joints., J Bone Joint Surg Am, 38, pp. 50-56, (1956)
[6]  
Verhelst, Mulier, Hoogmartens, Spaas, Arthrodesis of the ankle joint with complete removal of the distal part of the fibula, Experience with the transfibular approach and three different types of fixators, 118, pp. 93-99, (1976)
[7]  
White, A precision posterior ankle fusion, Clin Orthop, 98, pp. 239-250, (1974)
[8]  
Bingold, Ankle and subtalar fusion by a transarticular graft, J Bone Joint Surg Br, 38, pp. 862-868, (1956)
[9]  
Canale, Kelly, Fractures of the neck of the: Long-term evaluation of 71 cases, J Bone Joint Surg Am, 60, pp. 143-156, (1978)
[10]  
Chuinard, Peterson, Distraction-compression bone graft arthrodesis of the ankle: A method especially applicable in children, J Bone Joint Surg Am, 45, pp. 481-490, (1963)