, Volume 4, Issue 1, pp 32-42
Date: 08 Dec 2007

Limb Salvage Reconstruction of the Ankle with Fusion and Simultaneous Tibial Lengthening Using the Ilizarov/Taylor Spatial Frame

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Introduction

Despite early appropriate treatment with modern orthopedic trauma surgery protocols, distal tibia and ankle injuries do not uncommonly result in posttraumatic ankle arthritis. Ankle fusion offers reliable pain relief and improved function for many of these patients [1]. Ilizarov reconstruction with ankle arthrodesis has been used successfully to treat the more complex ankle pathology in many cases as an alternative to amputation [27]. These complex fusions can be limb salvage undertakings, as the treatments are often complicated by the presence of bone loss, osteomyelitis, associated deformity, and a poor soft tissue envelope with compromised healing potential. Most of these patients had failed multiple previous surgeries including open reduction with plates and screws, attempted ankle fusion, total ankle replacement, and external fixation with limited internal fixation. Various techniques for achieving complex ankle fusion have been reported including fixation with crosse