[Arthrodesis of the ankle under arthroscopy. Apropos of 10 cases reviewed after a year].
OBJECTIVE
The technique, results and indications for arthroscopic ankle fusion are detailed and compared with open technics.


METHODS
10 arthroscopic ankle fusions were performed between 1991 and 1993. This procedure was used in 4 cases of rheumatoid arthritis, 5 cases of osteoarthritis and 1 case of joint destruction consecutive to hemophilia. All patients were followed until fusion with an average follow-up of 12 months. The quality and position of the fusion were analyzed clinically and on radiograms.


RESULTS
9 patients obtained fusion in a neutral position and were able to walk with normal shoes. The average time to fusion was 14.5 weeks (8 to 40). 1 case failed and required reoperation after 15 months. No local complications were observed.


CONCLUSIONS
Arthroscopic ankle fusion is a safe procedure with good results in cases with relatively little deformities. Its main interest lies in the low rate of complications. The technique does not increase the rate of fusion when compared to open technics.


CONCLUSIONS
Arthroscopic fusion is recommended in cases with little to moderate deformities in the presence of poor wound healing factors.
Bonnin
M
M
Service de Chirurgie Orthopédique et Traumatologique, Centre hospitalier Lyon-Sud, Pierre-Bénite.
Carret
J P
JP
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016512:Ankle Injuries / Q000150:complications / Q000601:surgery; D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D001182:Arthroscopy; D001863:Bone Screws; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000209:etiology / Q000601:surgery; D016059:Range of Motion, Articular
L'arthrodèse de cheville sous arthroscopie. A propos de 10 cas revus à plus de 1 an.