DOI QR코드

DOI QR Code

Ankle Arthrodesis

족관절 유합술

  • Lee, Jun Young (Department of Orthopaedic Surgery, Chosun University Hospital, Chosun University College of Medicine) ;
  • Park, Sang-Ha (Department of Orthopaedic Surgery, Chosun University Hospital, Chosun University College of Medicine)
  • 이준영 (조선대학교 의과대학 조선대학교병원 정형외과학교실) ;
  • 박상하 (조선대학교 의과대학 조선대학교병원 정형외과학교실)
  • Received : 2014.10.02
  • Accepted : 2014.11.14
  • Published : 2014.12.15

Abstract

Ankle arthrodesis has been used as standard treatment of ankle arthritis unresponsive to conservative treatment. Transfibular approach was used for ankles with severe deformities and minimally invasive arthroscopic ankle arthrodesis was used for patients with mild deformities. Anterior approach may be used when lateral approach couldn't be performed. Tibiotalocalcaneal arthrodesis is standard treatment for coexisting ankle and subtalar arthritis, and modified Blair arthrodesis can be used if the talus body resection is necessary in severe talar necrosis. In serious infection of ankle arthritis, arthrodesis can be performed as staged operation. In cases with low bone density and severe deformities, Charcot arthropathy should be considered.

Keywords

References

  1. Raikin SM. Arthrodesis of the ankle: arthroscopic, mini-open, and open techniques. Foot Ankle Clin. 2003;8:347-59. https://doi.org/10.1016/S1083-7515(03)00014-7
  2. Ahmad J, Raikin SM. Ankle arthrodesis: the simple and the complex. Foot Ankle Clin. 2008;13:381-400. https://doi.org/10.1016/j.fcl.2008.04.007
  3. Blankenhorn BD, Saltzman CL. Ankle arthritis. In: Coughlin MJ, Saltzman CL, Anderson RB, editors. Mann's surgery of the foot and ankle. 9th ed. Philadelphia: Saunders/Elsevier; 2013. p.1037-74.
  4. Flückiger G, Weber M. The transfibular approach for ankle arthrodesis. Oper Orthop Traumatol. 2005;17:361-79. https://doi.org/10.1007/s00064-005-1148-9
  5. Grass R, Rammelt S, Biewener A, Zwipp H. Arthrodesis of the ankle joint. Clin Podiatr Med Surg. 2004;21:161-78. https://doi.org/10.1016/j.cpm.2004.01.006
  6. Dohm MP, Benjamin JB, Harrison J, Szivek JA. A biomechanical evaluation of three forms of internal fixation used in ankle arthrodesis. Foot Ankle Int. 1994;15:297-300. https://doi.org/10.1177/107110079401500603
  7. Ogilvie-Harris DJ, Fitsialos D, Hedman TP. Arthrodesis of the ankle. A comparison of two versus three screw fixation in a crossed configuration. Clin Orthop Relat Res. 1994;(304):195-9.
  8. Holt ES, Hansen ST, Mayo KA, Sangeorzan BJ. Ankle arthrodesis using internal screw fixation. Clin Orthop Relat Res. 1991;(268):21-8.
  9. Colman AB, Pomeroy GC. Transfibular ankle arthrodesis with rigid internal fixation: an assessment of outcome. Foot Ankle Int. 2007;28:303-7. https://doi.org/10.3113/FAI.2007.0303
  10. Klaue K, Bursic D. The dorsolateral approach to the ankle for arthrodesis. Oper Orthop Traumatol. 2005;17:380-91. https://doi.org/10.1007/s00064-005-1149-8
  11. Morgan CD, Bodenstab AB. Arthroscopic Bankart suture repair: technique and early results. Arthroscopy. 1987;3:111-22. https://doi.org/10.1016/S0749-8063(87)80027-0
  12. Dannawi Z, Nawabi DH, Patel A, Leong JJ, Moore DJ. Arthroscopic ankle arthrodesis: are results reproducible irrespective of pre-operative deformity? Foot Ankle Surg. 2011;17:294-9. https://doi.org/10.1016/j.fas.2010.12.004
  13. Ogilvie-Harris DJ, Lieberman I, Fitsialos D. Arthroscopically assisted arthrodesis for osteoarthrotic ankles. J Bone Joint Surg Am. 1993;75:1167-74. https://doi.org/10.2106/00004623-199308000-00006
  14. Myerson MS, Quill G. Ankle arthrodesis. A comparison of an arthroscopic and an open method of treatment. Clin Orthop Relat Res. 1991;(268):84-95.
  15. Paremain GD, Miller SD, Myerson MS. Ankle arthrodesis: results after the miniarthrotomy technique. Foot Ankle Int. 1996;17:247-52. https://doi.org/10.1177/107110079601700502
  16. Miller SD, Paremain GP, Myerson MS. The miniarthrotomy technique of ankle arthrodesis: a cadaver study of operative vascular compromise and early clinical results. Orthopedics. 1996;19:425-30.
  17. Gruen GS, Mears DC. Arthrodesis of the ankle and subtalar joints. Clin Orthop Relat Res. 1991;(268):15-20.
  18. Campbell CJ, Rinehart WT, Kalenak A. Arthrodesis of the ankle. Deep autogenous inlay grafts with maximum cancellous-bone apposition. J Bone Joint Surg Am. 1974;56:63-70. https://doi.org/10.2106/00004623-197456010-00007
  19. Kelly IP, Easley ME. Treatment of stage 3 adult acquired flatfoot. Foot Ankle Clin. 2001;6:153-66. https://doi.org/10.1016/S1083-7515(03)00073-1
  20. Kelly IP, Nunley JA. Treatment of stage 4 adult acquired flatfoot. Foot Ankle Clin. 2001;6:167-78. https://doi.org/10.1016/S1083-7515(03)00074-3
  21. Bohay DR, Anderson JG. Stage IV posterior tibial tendon insufficiency: the tilted ankle. Foot Ankle Clin. 2003;8:619-36. https://doi.org/10.1016/S1083-7515(03)00013-5
  22. Saltzman C. Ankle arthritis. In: Coughlin MJ, Mann RA, Saltzman CL, editors. Surgery of foot and ankle. 8th ed. Philadelphia: Mosby Elsevier; 2007. p.923-83.
  23. Muir D, Angliss RD, Nattrass GR, Graham HK. Tibiotalocalca neal arthrodesis for severe calcaneovalgus deformity in cerebral palsy. J Pediatr Orthop. 2005;25:651-6. https://doi.org/10.1097/01.bpo.0000167081.68588.3f
  24. Mulfinger GL, Trueta J. The blood supply of the talus. J Bone Joint Surg Br. 1970;52:160-7.
  25. Peterson L, Goldie I, Lindell D. The arterial supply of the talus. Acta Orthop Scand. 1974;45:260-70. https://doi.org/10.3109/17453677408989148
  26. Horst F, Gilbert BJ, Nunley JA. Avascular necrosis of the talus: current treatment options. Foot Ankle Clin. 2004;9:757-73. https://doi.org/10.1016/j.fcl.2004.08.001
  27. Mont MA, Schon LC, Hungerford MW, Hungerford DS. Avascular necrosis of the talus treated by core decompression. J Bone Joint Surg Br. 1996;78:827-30.
  28. Hussl H, Sailer R, Daniaux H, Pechlaner S. Revascularization of a partially necrotic talus with a vascularized bone graft from the iliac crest. Arch Orthop Trauma Surg. 1989;108:27-9. https://doi.org/10.1007/BF00934153
  29. Blair H. Comminuted fractures and fracture dislocations of the body of the astragalus. Operative treatment. Am J Surg. 1943;59:37-43. https://doi.org/10.1016/S0002-9610(43)90501-X
  30. Morris HD. Aseptic necrosis of the talus following injury. Orthop Clin North Am. 1974;5:177-89.
  31. Dennis MD, Tullos HS. Blair tibiotalar arthrodesis for injuries to the talus. J Bone Joint Surg Am. 1980;62:103-7. https://doi.org/10.2106/00004623-198062010-00015
  32. Adelaar RS, Madrian JR. Avascular necrosis of the talus. Orthop Clin North Am. 2004;35:383-95. https://doi.org/10.1016/j.ocl.2004.02.010
  33. Baumhauer JF, Lu AP, DiGiovanni BF. Arthodesis of the infected ankle and subtalar joint. Foot Ankle Clin. 2002;7:175-90. https://doi.org/10.1016/S1083-7515(01)00008-0
  34. 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. https://doi.org/10.1097/01.TA.0000051933.83342.E4
  35. Ahmad J, Pour AE, Raikin SM. The modified use of a proximal humeral locking plate for tibiotalocalcaneal arthrodesis. Foot Ankle Int. 2007;28:977-83. https://doi.org/10.3113/FAI.2007.0977
  36. Dalla Paola L, Volpe A, Varotto D, Postorino A, Brocco E, Senesi A, et al. Use of a retrograde nail for ankle arthrodesis in Charcot neuroarthropathy: a limb salvage procedure. Foot Ankle Int. 2007;28:967-70. https://doi.org/10.3113/FAI.2007.0967
  37. Caravaggi C, Cimmino M, Caruso S, Dalla Noce S. Intramedullary compressive nail fixation for the treatment of severe Charcot deformity of the ankle and rear foot. J Foot Ankle Surg. 2006;45:20-4. https://doi.org/10.1053/j.jfas.2005.10.003
  38. Myerson MS, Alvarez RG, Lam PW. Tibiocalcaneal arthrodesis for the management of severe ankle and hindfoot deformities. Foot Ankle Int. 2000;21:643-50. https://doi.org/10.1177/107110070002100803
  39. Pinzur MS, Noonan T. Ankle arthrodesis with a retrograde femoral nail for Charcot ankle arthropathy. Foot Ankle Int. 2005;26:545-9. https://doi.org/10.1177/107110070502600709
  40. Hockenbury RT, Gruttadauria M, McKinney I. Use of implantable bone growth stimulation in Charcot ankle arthrodesis. Foot Ankle Int. 2007;28:971-6. https://doi.org/10.3113/FAI.2007.0971