title: Transarticular cross-screw fixation. A technique of ankle arthrodesis.
abstract: Many techniques of ankle arthrodesis have been described. Failure rates of up to 40% have been reported in the past. In this study, a technique for internal fixation of ankle fusions was employed using transarticular crossed-screw fixation. This provides bony coaptation, compression, and immobilization necessary for reliable union. Thirty-five patients had ankle arthrodesis with this technique of internal fixation and 12 patients had ankle fusions with Charnley compression arthrodesis. Follow-up evaluation averaged two years. The fusion rate was 100% (35 fusions of 35 attempts) with the transarticular crossed-screw technique and 83% (ten fusions of 12 attempts) with compression arthrodesis.
authors.affiliation: Department of Orthopaedic Surgery, University of California San Francisco.
authors.forename: R C
authors.initials: RC
authors.lastname: Maurer
authors.forename: W R
authors.initials: WR
authors.lastname: Cimino
authors.forename: C V
authors.initials: CV
authors.lastname: Cox
authors.forename: G K
authors.initials: GK
authors.lastname: Satow
mesh_terms: D000328:Adult; D000368:Aged; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws; D016267:External Fixators; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies