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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia del Piede 2013 December;37(3):73-7
Arthroscopy ankle arthrodesis
D’Arrigo A. 1, De Pablos J. 2, Jimenez O. 1, Arenas A. 3, Duart J. 4
1 Unità di Cura del Piede e della Caviglia, Chirurgia Ortopedica Traumatologica, Pamplona, Spagna;
2 Unità Traumatologica Chirurgia Ortopedica Traumatologica, Pamplona, Spagna;
3 Unità delle Estremità Superiori, of Upper Extremities, Chirurgia Ortopedica Traumatologica, Pamplona, Spagna;
4 Unità di Chirurgia Ortopedica Infantile, Ortopedica Traumatologica, Pamplona, Spagna
Objective: It is presented an operative casuistry of 18 cases treated with a ankle arthroscopic arthrodesis, describing the surgical technique, advantages and limitations. This procedure is the election treatment for patients with severe degenerative arthrosis, post-traumatic advanced arthritis (specially for talus and bimalleolar fractures), complications of articular infections, faillure in ankle arthroplasty, rare tumoral cases and postsurgical arthropaties.
Methods: Between 2000 and 2011 there were done 18 arthroscopic arthodesis, 10 males and 8 females, with an average age of 43 years. The post-operative following-up period was 7 months to 11 years and 9 months.
Results: It was found a correct post-operative evolution of all the cases included in this study with pain-free complete plantigrad support and almost normal walking function. The AOFAS score moved up in all the cases, ascending from 58 to 96. There were not complicactions like infection, dehiscense of the suture of the arthroscopic portals, skin problems nor vascular-nervous lesions.
Discussion: It could be affirmed that arthroscopic arthrodesis has evident advantages over the open surgical procedure like mini-invasiveness, lower hospitalization period, excelent visualization of the intra-articular structures, reduction of the wound healing defects, moderate postoperative pain and lower pseudoarthrosis rate.