Anterior Double Plating for Rigid Fixation of Isolated Tibiotalar Arthrodesis

ArticleinFoot & Ankle International 30(7):631-9 · August 2009with16 Reads
Impact Factor: 1.51 · DOI: 10.3113/FAI.2009.0631 · Source: PubMed

    Abstract

    Background: Arthrodesis is the most common procedure used to treat end-stage osteoarthritis of the ankle, particularly in patients with difficult conditions such as poor bone quality. While many techniques are available to fuse the ankle, current recommendations favor the use of internal fixation with screws and/or plates. Despite of progress, the complication rate remains a major concern. Non-union is one difficult problem especially with difficult bone conditions, particularly the loss of bone stock on the talar side. Therefore, fusion of the tibiotalar joint is often extended to the talocalcaneal joint to provide sufficient stability. To preserve the subtalar joint, an anterior double plate system for rigid fixation of isolated tibiotalar arthrodesis was developed. This is a preliminary report on the clinical and radiological outcome with this technique.