Anterior Approach for Ankle Arthrodesis

JBJS Essential Surgical Techniques
Robert G Dekker, Anish R Kadakia

Abstract

End-stage ankle arthritis may be treated successfully with either an ankle arthrodesis or arthroplasty. Both surgical interventions have demonstrated success with regard to pain relief and function. Ankle arthrodesis is indicated for patients with recalcitrant ankle pain despite appropriate nonoperative intervention. Patients who have a history of posttraumatic arthritis from a high-energy injury, soft-tissue compromise, limited range of motion, or deformity may be superior candidates for arthrodesis. The surgical technique can be undertaken with either an open or an arthroscopic approach. An open anterior approach with an anatomic precontoured locking plate is ideal for patients with deformity and/or bone loss. Additionally, the use of a precontoured plate assists with achieving a neutral alignment in both the coronal and the sagittal plane, which is critical to the long-term success of the procedure. No hardware, however, substitutes for appropriate surgical technique, which is the focus of this video article. The procedure includes the following steps:An anterior extensile incision is made immediately lateral to the anterior tibial tendon, extending to the level of the talonavicular joint.Dissection is taken with care to avo...Continue Reading

References

Nov 1, 1994·Foot & Ankle International·C FreyE Ebramzadeh
Jan 16, 1998·Foot & Ankle International·J S WayneR S Adelaar
Oct 18, 2001·Clinical Orthopaedics and Related Research·P S Cooper
Jan 24, 2003·Foot & Ankle International·Mark S Myerson, Kenneth Mroczek
Dec 12, 2007·Operative Orthopädie und Traumatologie·Stephan Schill
Jul 11, 2009·Foot & Ankle International·Christian PlaassBeat Hintermann
Jan 10, 2012·Foot & Ankle International·Roel P M HendrickxGino M M J Kerkhoffs
Dec 14, 2012·The Journal of Bone and Joint Surgery. American Volume·David TownshendKevin Wing
Jan 17, 2014·The Journal of Bone and Joint Surgery. American Volume·Timothy R DanielsMark Glazebrook
Mar 22, 2014·World Journal of Orthopedics·Gordon L SlaterMartin J O'Malley
Sep 30, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Allison M DarlandJohn L Zeller
May 23, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Martin WiewiorskiVictor Valderrabano

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Citations

Mar 20, 2019·JBJS Reviews·Kamran MovassaghiKamran S Hamid
Dec 6, 2019·Tissue Engineering. Part B, Reviews·Qinghao ZhangChangsheng Liu

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