Journal article
Arthroscopic revision ankle arthrodesis with fluoroscopic guidance: two cases
Foot and ankle surgery, Vol.7(3), pp.141-147
2001
DOI: 10.1046/j.1460-9584.2001.00271.x
Abstract
Two patients who had non-union of a previous open ankle arthrodesis were treated with revision arthrodesis using arthroscopic debridement and percutaneous cannulated screw fixation. The first patient had no signs of infection on preoperative aspiration and intraoperative cultures of the non-union; the second patient had had lateral wound breakdown and osteomyelitis after the primary arthrodesis procedure, which resolved after debridements, intravenous antibiotics and musculocutaneous free flap coverage. In both cases, arthroscopic debridement of the non-union was facilitated with fluoroscopic guidance for initial placement of instruments. Cancellous bone graft from the proximal tibia was placed into the non-union site with cannula and trocar through the arthroscopic portals, and tibiotalar fixation was achieved with cannulated 7.3 mm screws. Postoperative electrical bone stimulation was used. In the first patient, union was complete 12 weeks after surgery; in the second patient, who continued to smoke against advice, consolidation of some areas in the tibiotalar space was noted at 6.5 months after surgery and he eventually resumed high demand work. These cases demonstrate that arthroscopic ankle arthrodesis may be used successfully for revision of non-union, with potentially lower risk of wound complications compared with open methods.
Details
- Title: Subtitle
- Arthroscopic revision ankle arthrodesis with fluoroscopic guidance: two cases
- Creators
- Elly Trepman - University of ManitobaJohn E. Femino - University of Michigan–Ann Arbor
- Resource Type
- Journal article
- Publication Details
- Foot and ankle surgery, Vol.7(3), pp.141-147
- Publisher
- Elsevier Ltd
- DOI
- 10.1046/j.1460-9584.2001.00271.x
- ISSN
- 1268-7731
- eISSN
- 1460-9584
- Language
- English
- Date published
- 2001
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984304682802771
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