Treatment of malunion and nonunion at the site of an ankle fusion with the Ilizarov apparatus. Surgical technique

The Journal of Bone and Joint Surgery. American Volume
Dror PaleyJohn E Herzenberg

Abstract

Malunion and nonunion of an ankle fusion site are associated with pain, osteomyelitis, limblength discrepancy, and deformity. The Ilizarov reconstruction has been used to treat these challenging problems. We reviewed the results in twenty-one ankles that had undergone a revision of a failed fusion, with simultaneous treatment of coexisting pathologic conditions, with use of the Ilizarov technique. Eight patients had undergone ankle fusion only, eleven had undergone ankle and subtalar fusion, and two had undergone pantalar fusion. Eighteen patients with an average limb-length discrepancy of 4 cm underwent limb lengthening simultaneously with the revision surgery. The average patient age was forty years. Indications for treatment were malunion (eleven patients), aseptic nonunion (eight patients), and infected nonunion (two patients). Clinical, subjective, objective, gait, and radiographic analyses were performed after an average duration of follow-up of 83.4 months. Solid union was achieved in all ankles. The functional result was excellent for fifteen patients, good for three, fair for two, and poor for one. The bone result was excellent for ten ankles, good for nine, fair for one, and poor for one. All eighteen patients who und...Continue Reading

References

Nov 1, 1994·Foot & Ankle International·C FreyE Ebramzadeh
Jan 22, 2005·Journal of the American Podiatric Medical Association·Robert W MendicinoDror Paley

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Citations

May 3, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Brooke CrawfordDavid E Karges
Feb 3, 2009·The Journal of Hand Surgery·Andrew JawaJesse Jupiter
Aug 29, 2009·Foot and Ankle Clinics·Andrew Peter MolloyBadri Narayan
Apr 11, 2021·BMC Musculoskeletal Disorders·Kai LiuAihemaitijiang Yusufu
May 19, 2011·Strategies in Trauma and Limb Reconstruction·Jan GessmannDominik Seybold

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