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Outcome of Transfibular Ankle Arthrodesis with Ilizarov Apparatus

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Title: Outcome of Transfibular Ankle Arthrodesis with Ilizarov Apparatus
Authors: Onodera, Tomohiro Browse this author →KAKEN DB
Majima, Tokifumi Browse this author →KAKEN DB
Kasahara, Yasuhiko Browse this author
Takahashi, Daisuke Browse this author
Yamazaki, Shuji Browse this author
Ando, Ryo Browse this author
Minami, Akio Browse this author →KAKEN DB
Keywords: Ankle
Arthrodesis
Fibular Strut Graft
Ilizarov Technique
Issue Date: Nov-2012
Publisher: American Orthopaedic Foot & Ankle Society
Journal Title: Foot & Ankle International
Volume: 33
Issue: 11
Start Page: 964
End Page: 968
Publisher DOI: 10.3113/FAI.2012.0964
PMID: 23131442
Abstract: Background: Both transfibular ankle arthrodesis with fibular onlay grafting and ankle arthrodesis using the Ilizarov apparatus have resulted in acceptable fusion rates. This study analyzed outcomes in our practice for all patients who underwent transfibular ankle arthrodesis with fibular onlay grafting using the Ilizarov apparatus. Materials and Methods: A retrospective review was conducted of all patients who experienced severe ankle pain associated with osteoarthritis, rheumatoid arthritis, talar nectosis, or septic arthritis and underwent transfibular ankle arthrodesis with Ilizarov apparatus between 1995 and 2010. Postoperative clinical outcomes were evaluated for 42 consecutive patients (43 feet) who received primary or revision ankle arthrodesis using the Ilizarov technique at two centers. Mean duration of follow-up was 4.1 years (range, 1.5-13 years). Outcomes were assessed using the ankle-hindfoot scale of the American Orthopaedic Foot and Ankle Society. Results: All ankles fused successfully. Mean clinical outcome improved significantly from 36.2 (range, 8-64) preoperatively to 77.4 (range, 0-86; p < 0.05) postoperatively. Conclusion: Transfibular ankle arthrodesis using the Ilizarov external fixation system and fibular onlay strut grafting can achieve 100% bony union and lead to general improvements in clinical outcome. Forefoot stabilization with a forefoot ring achieves rigid stabilization resulting in a shorter duration of external fixation.
Rights: Copyright © 2012 by the American Orthopaedic Foot & Ankle Society
Type: article (author version)
URI: http://hdl.handle.net/2115/53464
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 小野寺 智洋

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