title: [Ankle arthrodesis with an posterolateral approach using a polyaxial angle stable Talarlock® plate].
abstract: OBJECTIVE
  Safe arthrodesis of the ankle as well as load carrying capacity free of pain.
  
  
  METHODS
  Painful arthritis of the ankle joint occurring idiopathic or posttraumatic, resulting from rheumatoid arthritis or neuromuscular diseases. Extensive bony defects in varus or valgus ankle deformities and after failed prosthesis. Complex hindfoot deformities in neurological disease, paralysis and instabilities. Joint destruction after infection.
  
  
  METHODS
  Active osteitis, extensive skin ulcers in the approach area, periphery artery occlusive disease.
  
  
  METHODS
  Posterolateral skin incision. Sparing cartilage resection. Penetrating sclerosis zones. Reorientating anatomic positioning of the talus thereby correcting axis deformities. Talarlock(®) plate positioning and tibiotalar arthrodesis.
  
  
  METHODS
  Full weight bearing in an arthodesis boot for 6 weeks. After bone grafting partial weight bearing (20 kg) in an arthrodesis boot for 8 weeks. Full weight bearing after 10weeks.
  
  
  RESULTS
  Ten patients were operated on using this procedure. The follow-up time was 1 year. There were no complications requiring further surgical procedures. Ankle fusion and a good clinical outcome could be achieved in all cases.
authors.affiliation: Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Klinik und Poliklinik für Orthopädie und physikalische Medizin, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 22, 06112, Halle, Deutschland, natalia@gutteck.com.
authors.forename: N
authors.initials: N
authors.lastname: Gutteck
authors.forename: S
authors.initials: S
authors.lastname: Lebek
authors.forename: A
authors.initials: A
authors.lastname: Zeh
authors.forename: G
authors.initials: G
authors.lastname: Gradl
authors.forename: K-S
authors.initials: KS
authors.lastname: Delank
authors.forename: D
authors.initials: D
authors.lastname: Wohlrab
mesh_terms: D000328:Adult; D000368:Aged; D064386:Ankle Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D018771:Arthralgia / Q000209:etiology / Q000517:prevention & control*; D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods*; D001860:Bone Plates; D001863:Bone Screws; D019544:Equipment Failure Analysis; D005260:Female; D017102:Fracture Healing; D006801:Humans; D007592:Joint Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning / Q000379:methods; D011474:Prosthesis Design; D011859:Radiography; D016896:Treatment Outcome