Ankle Arthrodesis
synonyms:
Ankle Arthrodesis CPT
Ankle Arthrodesis Indications
Ankle Arthrodesis Contraindications
- Total ankle arthroplasty (Doets HC, JBJS 2006;88A:1272), Anderson T, JBJS 2003;85A:1161).
- Distraction arthroplasty (van Valburg AA, JBJS 1995;77Br:720).
- Periarticular osteotomy (Tanaka Y, JBJS 2006;88Br:909).
- Non-op treatment
Alternatives
Ankle Arthrodesis Pre-op Planning
- see (Gougoulias NE, Foot Ankle Int 2007;28:695) for arthroscopic technique
- -Patient Guides: eOrthopod,
- For fusion after TAA failure see: (Cuplan P, JBJS 2007;89Br:1178)
- Can use proximal humeral locking plate (Ahmad J, Foot Ankle Int 2007;28:977)
Ankle Arthrodesis Technique
- Sign operative site.
- Pre-operative antibiotics, +/- regional block.
- General endotracheal anesthesia
- position. All bony prominences well padded.
- Examination under anesthesia.
- Prep and drape in standard sterile fashion.
- Irrigate.
- Close in layers.
Ankle Arthrodesis Complications
Ankle Arthrodesis Follow-up care
- Post-op:
- 7-10 Days:
- 6 Weeks:
- 3 Months:
- 6 Months:
- 1Yr:
Ankle Arthrodesis Outcomes
- >90% fusion rate with arthroscopic ankle arthrodesis (Gougoulias NE, Foot Ankle Int 2007;28:695)
- (Coester LM, JBJS 83A:219;2001)
Ankle Arthrodesis Review References
- (Coester LM, JBJS 83A:219;2001)
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