Document Detail

Tension-band technique for ankle fusion.
MedLine Citation:
PMID:  11199349     Owner:  NLM     Status:  MEDLINE    
A prospective study was conducted to develop a better technique for ankle fusion. Eleven consecutive patients were treated using the tension-band technique for ankle fusion and underwent follow-up for a minimum of 2 years (range: 2-5 years). All 11 patients achieved solid fusion for a fusion rate of 100%. Average time to fusion was 3 months (range: 2-6 months). The indication for ankle fusion was intractable aching pain that could not be controlled by conservative methods. Two of 11 patients underwent surgery due to infected arthritis. After ankle fusion, there was no recurrence of infection during a 3-year follow-up period. The technique included osteotomy of the bimalleoli from the inside out, removal of articular cartilage and preserving wedge space for cancellous bone grafting, with or without staple stabilization, and external immobilization supplementation. The functional outcome in all 11 patients improved from unsatisfactory preoperatively to satisfactory at latest follow-up (P<.001). No significant complications were noted. This simple technique proved excellent for ankle fusion with a satisfactory outcome and is recommended for treating severe ankle arthropathies.
C C Wu; C H Shih; W J Chen; C L Tai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopedics     Volume:  24     ISSN:  0147-7447     ISO Abbreviation:  Orthopedics     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-01-23     Completed Date:  2001-03-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-40     Citation Subset:  IM    
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan, China.
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MeSH Terms
Ankle Joint*
Arthritis, Infectious / surgery*
Joint Deformities, Acquired / surgery
Middle Aged
Orthopedic Procedures*
Prospective Studies
Treatment Outcome
Comment In:
Orthopedics. 2001 Jul;24(7):694   [PMID:  11478560 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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