RESULTS OF ANKLE ARTHRODESIS USING A TIBIAL SLIDING BONE GRAFT
Abstract:
Currently, ankle arthrodesis is still considered the treatment of choice in advanced stages of ankle osteoarthritis. Harvesting a bone graft from the distal tibia and sliding and fixing it in the talus leads to a strong stabilization without the need for osteosynthesis material. In this study we aimed to evaluate the clinical course, osseous consolidation and the frequency of complications of this technique. We included 32 cases of ankle arthrodesis in 32 patients (21 men, 11 women, mean age 48±22 years) that were followed for a mean of 3.7 years (1-6 years). We found a statistically significant improvement of the AOFAS Ankle-Hindfoot Scale score (p=0.02) and consolidation in 31 cases (96.87%) after a medium of 13 weeks. There were two cases of superficial soft tissue necrosis and one case without bone fusion. The method is simple, reproducible and provides excellent clinical results with a high rate of consolidation.
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