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Post-traumatic Ankle Arthropathy Treated with Arthrodesis

  • Matthew S. MacDougall
  • Daniel J. Gittings
  • Jaimo AhnEmail author
Chapter

Abstract

A 46-year-old male with a history of traumatic ankle injury 30 years ago presents to the office with worsening ankle pain over the past year. He is found to have post-traumatic tibiotalar arthritis refractory to conservative treatment. Given the patient’s young age and high activity level, tibiotalar arthrodesis was chosen because of the procedure’s ability to improve pain and maintain mobility through adjacent joints. This case discusses tibiotalar arthrodesis using medial and lateral approaches to the ankle and fixation with cannulated cancellous screws. This procedure has high success rates for treating end stage tibiotalar arthritis and has low rates of reoperation.

Keywords

Post-traumatic ankle arthritis Tibiotalar arthrodesis 

References

  1. 1.
    Ahlberg A, Henricson AS. Late results of ankle fusion. Acta Orthop Scand. 1981;52:103–5.CrossRefPubMedGoogle Scholar
  2. 2.
    Anderson JG, Coetzee JC, Hansen ST. Revision ankle fusion using internal compression arthrodesis with screw fixation. Foot Ankle Int. 1997;18:300–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Buchner M, Sabo D. Ankle fusion attributable to posttraumatic arthrosis: a long-term followup of 48 patients. Clin Orthop Relat Res. 2003:155–64.Google Scholar
  4. 4.
    Cobb TK, Gabrielsen TA, Campbell DC 2nd, Wallrichs SL, Ilstrup DM. Cigarette smoking and nonunion after ankle arthrodesis. Foot Ankle Int. 1994;15:64–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Fitzgibbons TC. Arthroscopic ankle debridement and fusion: indications, techniques, and results. Instr Course Lect. 1999;48:243–8.PubMedGoogle Scholar
  6. 6.
    Jackson A, Glasgow M. Tarsal hypermobility after ankle fusion--fact or fiction? J Bone Joint Surg Br. 1979;61-b:470–3.PubMedGoogle Scholar
  7. 7.
    Kats J, van Kampen A, de Waal-Malefijt MC. Improvement in technique for arthroscopic ankle fusion: results in 15 patients. Knee Surg Sports Traumatol Arthrosc. 2003;11:46–9.CrossRefPubMedGoogle Scholar
  8. 8.
    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.CrossRefPubMedGoogle Scholar
  9. 9.
    Marcus RE, Balourdas GM, Heiple KG. Ankle arthrodesis by chevron fusion with internal fixation and bone-grafting. J Bone Joint Surg Am. 1983;65:833–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Marsh JL, Rattay RE, Dulaney T. Results of ankle arthrodesis for treatment of supramalleolar nonunion and ankle arthrosis. Foot Ankle Int. 1997;18:138–43.CrossRefPubMedGoogle Scholar
  11. 11.
    Moran CG, Pinder IM, Smith SR. Ankle arthrodesis in rheumatoid arthritis. 30 cases followed for 5 years. Acta Orthop Scand. 1991;62:538–43.CrossRefPubMedGoogle Scholar
  12. 12.
    Said E, Hunka L, Siller TN. Where ankle fusion stands today. J Bone Joint Surg Br. 1978;60-b:211–4.PubMedGoogle Scholar
  13. 13.
    Saltzman CL, Salamon ML, Blanchard GM, Huff T, Hayes A, Buckwalter JA, Amendola A. Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J. 2005;25:44–6.PubMedPubMedCentralGoogle Scholar
  14. 14.
    Weatherall JM, Mroczek K, McLaurin T, Ding B, Tejwani N. Post-traumatic ankle arthritis. Bull Hosp Jt Dis. 2013;71:104–12.Google Scholar
  15. 15.
    Nihal A, Gellman RE, Embil JM, Trepman E. Ankle arthrodesis. Foot Ankle Surg. 2008;14:1–10.CrossRefPubMedGoogle Scholar
  16. 16.
    Goetzmann T, Mole D, Jullion S, Roche O, Sirveaux F, Jacquot A. Influence of fixation with two vs. three screws on union of arthroscopic tibio-talar arthrodesis: comparative radiographic study of 111 cases. Orthop Traumatol Surg Res. 2016;102:651–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Matthew S. MacDougall
    • 1
  • Daniel J. Gittings
    • 2
  • Jaimo Ahn
    • 2
    Email author
  1. 1.Department of Biochemistry and Molecular GeneticsUniversity of IllinoisChicagoUSA
  2. 2.Department of Orthopaedic SurgeryUniversity of PennsylvaniaPhiladelphiaUSA

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