scholarly journals Sport and physical activity after ankle arthrodesis with Ilizarov fixation and internal fixation

2018 ◽  
Vol 28 (5) ◽  
pp. 609-614 ◽  
Author(s):  
Piotr Morasiewicz ◽  
Maciej Dejnek ◽  
Mirosław Kulej ◽  
Szymon Dragan ◽  
Grzegorz Konieczny ◽  
...  
Keyword(s):  
Physical Activity ◽  
Internal Fixation ◽  
Ankle Arthrodesis ◽  
Ilizarov Fixation

scholarly journals Clinical evaluation of ankle arthrodesis with Ilizarov fixation and internal fixation

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Piotr Morasiewicz ◽  
Maciej Dejnek ◽  
Wiktor Orzechowski ◽  
Wiktor Urbański ◽  
Mirosław Kulej ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Clinical Evaluation ◽  
Ankle Arthrodesis ◽  
Ilizarov Fixation

Radiological evaluation of ankle arthrodesis with Ilizarov fixation compared to internal fixation

Injury ◽  
2017 ◽  
Vol 48 (7) ◽  
pp. 1678-1683 ◽  
Author(s):  
Piotr Morasiewicz ◽  
Maciej Dejnek ◽  
Wiktor Urbański ◽  
Szymon Łukasz Dragan ◽  
Mirosław Kulej ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Ankle Arthrodesis ◽  
Radiological Evaluation ◽  
Ilizarov Fixation

scholarly journals Pedobarographic analysis of body weight distribution on the lower limbs and balance after ankle arthrodesis with Ilizarov fixation and internal fixation

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Piotr Morasiewicz ◽  
Grzegorz Konieczny ◽  
Maciej Dejnek ◽  
Leszek Morasiewicz ◽  
Wiktor Urbański ◽  
...  
Keyword(s):  
Body Weight ◽  
Internal Fixation ◽  
Weight Distribution ◽  
Ankle Arthrodesis ◽  
Lower Limbs ◽  
Ilizarov Fixation

A Biomechanical Evaluation of Three Forms of Internal Fixation Used in Ankle Arthrodesis

1994 ◽  
Vol 15 (6) ◽  
pp. 297-300 ◽  
Author(s):  
Michael P. Dohm ◽  
James B. Benjamin ◽  
Jeffrey Harrison ◽  
John A. Szivek
Keyword(s):  
Internal Fixation ◽  
Plate Fixation ◽  
Ankle Arthrodesis ◽  
Biomechanical Study ◽  
The Other ◽  
Fixation Failure ◽  
Plate Group ◽  
Biomechanical Evaluation ◽  
The Stability ◽  
Fibular Strut

A biomechanical study was undertaken to evaluate the relative stability of three types of internal fixation used for ankle arthrodesis. Crossed screw fixation, RAF fibular strut fixation, and T-plate fixation were tested in 30 cadaver ankles using an MTS machine. T-plate fixation consistantly provided the stiffest construct when compared with the other types of fixation. Failure occurred by distraction of bony surfaces, posterior to the plane of fixation, in the crossed screw and RAF groups. In contrast, failure in the T-plate group occurred through compression of bone anterior to the midcoronal plane of the tibia. Although the stability of fixation is only one factor in determining the success or failure of ankle arthrodesis, the results of this study would support T-plate fixation over the other forms tested.

scholarly journals Outcomes of Hindfoot and Ankle Arthrodesis in Neuropathic Patients

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0028
Author(s):  
David Macknet ◽  
Andrew Wohler ◽  
Carroll P. Jones ◽  
J. Kent Ellington ◽  
Bruce E. Cohen ◽  
...  
Keyword(s):  
Internal Fixation ◽  
External Fixation ◽  
Limb Salvage ◽  
Median Number ◽  
Ankle Arthrodesis ◽  
High Rate ◽  
Hardware Failure ◽  
Radiographic Outcomes ◽  
Fixation Group

Category: Ankle Arthritis, Diabetes, Hindfoot Introduction/Purpose: Charcot neuropathy of the ankle and hindfoot is a progressive and destructive process that can lead to instability and ulceration resulting in significant morbidity which can end with amputation. The foot and ankle surgeon’s aim is to reconstruct the high risk foot with the creation of a stable plantigrade foot, while reducing the risk of ulceration and allowing the patient to mobilize in commercially available footwear. There are numerous techniques for the reconstruction of the neuropathic hindfoot, but the most utilized of these include multiplanar external fixation or internal fixation with a plate or intramedullary nail. It is our goal to further elucidate outcomes of Charcot patients undergoing corrective ankle and hindfoot fusion comparing internal versus external fixation. Methods: We retrospectively collected 377 patients undergoing hindfoot and ankle arthrodesis at our institution from 2006- 2017. 77 patients were identified that underwent arthrodesis for Charcot arthropathy, 56 of which met our inclusion and exclusion criteria. This included 47 who had internal fixation as their primary procedure and 9 patients who underwent external fixation with a multi-planar external fixator. Our median follow up time was 3.4 years (IQR .5 to 12.9). Preoperatively we collected basic demographic variables, reasons for neuropathy, and ulcer status. Postoperatively we collected complications including infection, hardware failure, ulceration, recurrent deformity, and radiographic outcomes including union and hardware backout. Reoperation numbers and indications were also collected. Our primary outcome was limb salvage at final follow up. Secondarily, we collected final ambulatory and footwear status. Results: The limb salvage rate was 82% with 10 patients undergoing amputation, which did not vary between groups (p=.99). The primary reasons for amputation were persistent infection (4 of 10) and nonunion (4 of 10). Thirteen (24%) patients developed an infection. The median number of reoperations per patient was 1 (IQR 0-2) with the patients who underwent amputation undergoing a median of 2 (IQR 2-4) reoperations. The rate of union was 54%, occurring at a median of 26.5 (IQR 12-47) months. 44% (4/9) of patients in the external fixation group had a preoperative ulceration versus 19% (9/47) of the patients in the internal fixation group (p=.19). Preoperative ulceration was not a risk factor for amputation. Forty-two (75%) patients were ambulatory at final follow up. Conclusion: We report on the single largest series of Charcot patients undergoing hindfoot and ankle arthrodesis. The surgical management of this population has a high rate of complications with infection and reoperation being common. Despite a high nonunion rate most patients are able to ambulate in a brace or orthotic. Limb salvage can be expected with either internal or external fixation techniques.

A Biomechanical Comparison of Internal Fixation Techniques for Ankle Arthrodesis

2015 ◽  
Vol 54 (2) ◽  
pp. 188-191 ◽  
Author(s):  
Craig Clifford ◽  
Scott Berg ◽  
Kevin McCann ◽  
Byron Hutchinson
Keyword(s):  
Internal Fixation ◽  
Ankle Arthrodesis ◽  
Fixation Techniques ◽  
Biomechanical Comparison

Arthrodesis of the Ankle with Lateral Plating

1994 ◽  
Vol 15 (12) ◽  
pp. 649-653 ◽  
Author(s):  
W. Grant Braly ◽  
James K. Baker ◽  
Hugh S. Tullos
Keyword(s):  
Rheumatoid Arthritis ◽  
Internal Fixation ◽  
Cancellous Bone ◽  
Ankle Arthrodesis ◽  
Degenerative Arthritis ◽  
Ankle Arthroplasty ◽  
Lateral Plating ◽  
Screw Malposition ◽  
Clinical Grading

A modification of internal fixation compression arthrodesis for ankle fusion is described using two 6.5-mm cancellous bone screws and a lateral T plate. Using this technique, 20 consecutive arthrodeses by one surgeon were reviewed. Solid union was attained in 19 of 20 patients (95%). Average follow-up was 18 months (range 6–59 months). Time to obtain solid arthrodeses averaged 18 weeks. In 11 patients who returned for follow-up, clinical grading using the Mazur scale score averaged 70 of 90 points. Diagnoses included posttraumatic degenerative arthritis, failed ankle arthrodesis and rheumatoid arthritis (2 each), failed ankle arthroplasty, and posttuberculous arthritis (1 each). Complications included one malunion and one asymptomatic screw malposition. All patients attaining union were pleased with the procedure.

Ankle Arthrodesis by Internal Fixation with Cancellous Screws and Fibula Strut Graft: Report of Two Cases

1997 ◽  
Vol 10 (3) ◽  
pp. 480
Author(s):  
Jin Man Wang ◽  
Kwon Jae Roh ◽  
Yeo Hon Yun ◽  
Dong Jun Kim ◽  
Joo Seok Eom
Keyword(s):  
Internal Fixation ◽  
Ankle Arthrodesis ◽  
Strut Graft ◽  
Cancellous Screws ◽  
Fibula Strut
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