Arthroscopic ankle arthrodesis.
Arthroscopic ankle arthrodesis is a good option for the treatment of end-stage ankle arthritis. The surgical technique involving the use of a standard 4.5-mm arthroscope is described. Standard anteromedial and anterolateral portals are used. Joint surfaces except the lateral gutter are prepared to point bleeding with motorized burr, abraider, and curettes. Rigid fixation is achieved with cannulated screws. The postoperative regime includes 12 weeks protection, staged from non-weight bearing through partial to full weight bearing. Advantages compared with the open procedure include shorter hospital stay and shorter time to union with similar or better union rates.
Avon Orthopaedic Centre, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK.
Anna O
AO
Elmlund
Avon Orthopaedic Centre, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK. Electronic address: ianwinson@doctors.org.uk.
Ian G
IG
Winson
D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001168:Arthritis / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001182:Arthroscopy / Q000379:methods*; D000075202:Contraindications; D006801:Humans; D011182:Postoperative Care; D011859:Radiography; D016896:Treatment Outcome
Ankle; Arthrodesis; Arthroscopic; Fusion; Tibiotalar