Compression arthrodesis of the ankle by triangular external fixation: an improved technique.
In this preliminary report, the authors present a new application of an external tubular fixation system for compression arthrodesis of the ankle. A triangular ankle fusion frame was designed that provides rigid immobilization of the tibiotalar joint, with midfoot control provided by a metatarsal pin. Over the past 3 years, the authors have used this device to achieve solid tibiotalar arthrodesis in 12 of 14 patients. The surgical method, including step-by-step construction and application of the triangular ankle fusion frame, is presented. Early results suggest a nearly 90% union rate, including reoperative cases for failed primary fusion.
Berman
A T
AT
Department of Orthopedic Surgery and Rehabilitation, Hahnemann University Hospital, Philadelphia, Pa. 19102.
Bosacco
S J
SJ
Yanicko
D R
DR
Raisis
L W
LW
D000328:Adult; D000843:Ankle Joint; D001168:Arthritis / Q000150:complications*; D001174:Arthrodesis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D010146:Pain / Q000209:etiology / Q000601:surgery*; D011182:Postoperative Care; D011446:Prospective Studies