Hintermann H2

Primary Union of Ankle Arthrodesis: Review of a Single Institution/Multiple Surgeon Experience

Foot Ankle Int. 1994 Jun;15(6):293-296
Dohm M, Purdy BA, Benjamin J


BACKGROUND: A review of 37 ankle arthrodesis procedures done over a 12-year period by multiple surgeons at a single institution was performed.
METHODS: Six different techniques were used during the study period.
RESULTS: The initial success rate, defined as cases achieving a solid union after the index procedure, was 65%. Seven additional patients went on to a solid arthrodesis after subsequent surgical procedures, for an ultimate success rate of 84%. The initial success rate varied considerably depending on the surgical technique used, and ranged from 29% with the RAF fibular strut technique to 100% with T-plate fixation.
CONCLUSION: Although there are many variables that influence the success or failure of ankle arthrodesis, in our hands, rigid internal fixation gave the most predictable rate of primary union.

Copyright © 1994 (Foot Ankle Int. Jun;15(6):293-296) by the American Orthopaedic Foot and Ankle Society, Inc., originally published in Foot & Ankle International, and reproduced here with permission.

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, May 8, 2012 9:44 am