title: Ankle Arthrodesis Using an Anterior Titanium Dual Locked Plating Construct.
abstract: Ankle arthrodesis is currently the reference standard treatment for end-stage tibiotalar arthrosis. The fusion rates have varied in the published data from 59% to 100%. We reviewed 60 cases of consecutive anterior ankle arthrodesis using an anterior dual locked plating construct with respect to the fusion rate, time to fusion, pain relief, and complications. The patients were followed up for a mean of 1.1 years (range 16 weeks to 4 years). We found that our fusion rate was 97% for ankles not requiring structural allograft. The mean interval to fusion was 11.7 weeks, excluding those with a structural allograft. The mean visual analog scale pain scores decreased from 7 preoperatively to 2 at the final follow-up visit. Anterior ankle arthrodesis with dual locked plating provides excellent results with respect to the fusion rate with a low complication rate.
authors.affiliation: Foot and Ankle Orthopaedic Surgery Fellow, Coughlin Clinic, Saint Alphonsus Medical Group, Boise, ID. Electronic address: wesley.flint@gmail.com.
authors.forename: Wesley W
authors.initials: WW
authors.lastname: Flint
authors.affiliation: Foot and Ankle Orthopaedic Surgeon, Coughlin Clinic, Saint Alphonsus Medical Group, Boise, ID.
authors.forename: Christopher B
authors.initials: CB
authors.lastname: Hirose
authors.affiliation: Foot and Ankle Orthopaedic Surgeon, Coughlin Clinic, Saint Alphonsus Medical Group, Boise, ID.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Coughlin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001168:Arthritis / Q000601:surgery; D001174:Arthrodesis / Q000295:instrumentation*; D001860:Bone Plates; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D012189:Retrospective Studies; D014025:Titanium; D064232:Visual Analog Scale
chemical_list: D014025:Titanium
keywords: ankle arthrodesis; ankle fusion; locked plating; tibiotalar arthrodesis; tibiotalar fusion