Arthroscopy Assisted Ankle Arthrodesis– Prospective study of 16 cases
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 8
Abstract
Introduction: Ankle arthritis is a very painful condition and arthrodesis is an end stage palliative procedure as total ankle replacement is still, not that effective and popular. The purpose of this study was to perform a clinical and radiographic review of the long term efficacy of the procedure. Methods: Sixteen patients with isolated ankle arthritis were treated with Arthroscopy assisted ankle arthrodesis. There were 14 male and 2 female patients with age group ranging from 26 to 49 years. Right ankle was involved in 10 and left in 6 patients. They were followed up for 16-30 months with clinical examination, x-rays and American orthopedic foot and ankle score. Results: In 14 patients average time to union was 14 weeks. Two ankles (12.5%) of the 16 ankles failed to unite and underwent revision surgery with implant removal, debridement, and bone grafting and anterior plate fixation. Both ankles unite in 12 weeks. Thirteen (82%) of the 16 patients who returned for follow up had no signs or symptoms of pain and instability. The average postoperative score for ankle-hind foot on the AOFAS evaluation was 78 points, and rate of the patient satisfaction was 14 (88%) of the 16 patients. There was no correlation between outcomes and patients ages. Conclusions: Arthrodesis of the ankle can result in a painless, normal walking gait. When good surgical technique is used in carefully selected patients, ankle arthrodesis can be a reliable procedure for the relief of functionally disabling ankle arthritis, deformity, and pain
Authors and Affiliations
Dr Satish B. Sonar, DR RAJENDRA BAITULE
Keywords
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