RECENT PROGRESS OF FIXATION TECHNIQUES OF ANKLE ARTHRODESIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZUO Qiao , WEI Xianzhao , SU Jiacan.

Department of Orthopaedics, Changhai Hospital, Second Military Medical University, Shanghai, 200433, P.R.China.;

Corresponding author：

Keywords：

Ankle arthrodesis; External fixation; Internal fixation

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Objective To review the latest research progress of fixation techniques of ankle arthrodesis.Methods The l iterature concerning the research of fixation techniques of ankle arthrodesis in recent years was reviewed. Then the characteristics and new research progress of different internal and external fixation techniques were analysed and compared. Results There are plenty of different types of internal and external fixation devices, each with distinct characteristics. Now it is widely considered that internal fixation is the first choice for end-stage ankle arthropathy. However, under the circumstances that patients with serious bone defect, chronic active infection, or extensive soft tissue damage are not suitable for internal fixation, ankle arthrodesis with external fixation is still a safe and effective method. Conclusion For severe or end-stage ankle arthropathy, ankle arthrodesis is a mature therapeutic way with exact effect. Researches on these two aspects, expansion of indications of internal fixation and comparison and combination of internal and external fixation techniques, need to be deepened, which is of great significance for choosing a better fixation method and acquiring a better therapeutic effect.

Citation： ZUO Qiao,WEI Xianzhao,SU Jiacan.. RECENT PROGRESS OF FIXATION TECHNIQUES OF ANKLE ARTHRODESIS. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(4): 449-452. doi: Copy

1.	Kenzora JE, Simmons SC, Burgess AR, et al. External ﬁxation arthrodesis of the ankle joint following trauma. Foot Ankle, 1986, 7(1): 49-61.
2.	Malarkey RF, Binski JC. Ankle arthrodesis with the Calandruccio frame and bimalleolar onlay grafting. Clin Orthop Relat Res, 1991, (268): 44-48.
3.	Yousry AH, Abdalhady AM. Management of diabetic neuropathic ankle arthropathy by arthrodesis using an Ilizarov frame. Acta Orthop Belg, 2010, 76(6): 821-826.
4.	El-Gafary KA, Mostafa KM, Al-Adly WY. The management of Charcot joint disease affecting the ankle and foot by arthrodesis controlled by an Ilizarov frame: early results. J Bone Joint Surg (Br), 2009, 91(10): 1322-1325.
5.	EI-Alfy B. Arthrodesis of the ankle joint by Ilizarov external fixator in patients with infection or poor bone stock. Foot Ankle Surg, 2010, 16(2): 96-100.
6.	Gessmann J, Ozokyay L, Fehmer T, et al. Arthrodesis of the infected ankle joint: results with the Ilizarov external fixator. Z Orthop Unfall, 2011, 149(2): 212-218.
7.	Zarutsky E, Rush SM, Schuberth JM. The use of circular wire external ﬁxation in the treatment of salvage ankle arthrodesis. J Foot Ankle Surg, 2005, 44(1): 22-31.
8.	Karapinar H, Sener M, Kazimoqlu C, et al. Arthrodesis of neuropathic ankle joint by Ilizarov fixator in diabetic patients. J Am Podiatr Assoc, 2009, 99(1): 42-48.
9.	Bek D, Demiralp B, Kürklü M, et al. Ankle arthrodesis using an Ilizarov external fixator in patients wounded by landmines and gunshots. Foot Ankle Int, 2008, 29(2): 178-184.
10.	Thiryayi WA, Naqui Z, Khan SA. Use of the Taylor spatial frame in compression arthrodesis of the ankle: a study of 10 cases. J Foot Ankle Srug, 2010, 49(2): 182-187.
11.	Kiene J, Schulz AP, Hillbricht S, et al. Clinical results of resection arthrodesis by triangular external fixation for posttraumatic arthrosis of the ankle joint in 89 cases. Eur J Med Res, 2009, 14(1): 25-29.
12.	Torudom Y. The results of ankle arthrodesis with screws for end stage ankle arthrosis. J Med Assoc Thai, 2010, 93 Suppl 2: S50-54.
13.	Zwipp H, Rammelt S, Endres T, et al. High union rates and function scores at midterm followup with ankle arthrodesis using a four screw technique. Clin Orthop Relat Res, 2010, 468(4): 958-968.
14.	Jeng CL, Baumbach SF, Campbell J, et al. Comparison of initial compression of the medial, lateral, and posterior screws in an ankle fusion construct. Foot Ankle Int, 2011, 32(1): 71-76.
15.	Klouche S, El-Masri F, Graff W, et al. Arthrodesis with internal fixation of the infected ankle. J Foot Ankle Surg, 2011, 50(1): 25-30.
16.	Rowan R, Davey KJ. Ankle arthrodesis using an anterior AO T plate. J Bone Joint Surg (Br), 1999, 81(1): 113-116.
17.	Wera GD, Snotich JK. Tibiotalar arthrodesis using a custom blade plate. J Trauma, 2007, 63(6): 1279-1282.
18.	Guo C, Yan Z, Barfield WR, et al. Ankle arthrodesis using anatomically contoured anterior plate. Foot Ankle Int, 2010, 31(6): 492-498.
19.	Kakarala G, Rajan DT. Comparative study of ankle arthrodesis using cross screw fixation versus anterior contoured plate plus cross screw fixation. Acta Orthop Belgica, 2006, 72(6): 716-721.
20.	Mohamedean A, Said HG, EI-Sharkawi M, et al. Technique and short-term results of ankle arthrodesis using anterior plating. Int Orthop, 2010, 34(6): 833-837.
21.	Plaass C, Knupp M, Barq A, et al. Anterior double palting for rigid fixation of isolated tibiotalar arthrodesis. Foot Ankle Int, 2009, 30(7): 631-639.
22.	施忠民, 张弛, 顾文奇, 等. 经外踝截骨锁定钢板内固定行踝关节融合. 中国修复重建外科杂志, 2011, 25(7): 781-784.
23.	Pinzur MS, Noonan T. Ankle arthrodesis with a retrograde femoral nail for Charcot ankle arthropathy. Foot Ankle Int, 2005, 26(7): 545-549.
24.	Dalla Paola L, Volpe A, Varotto D, et al. Use of a retrograde nail for ankle arthrodesis in Charcot neuroarthropathy: a limb salvage procedure. Foot Ankle Int, 2007, 28(9): 967-970.
25.	Fujimori J, Yoshino S, Koiwa M, et al. Ankle arthrodesis in rheumatoid arthritis using an intramedullary nail with ﬁns. Foot Ankle Int, 1999, 20(8): 485-490.
26.	Moore TJ, Prince R, Pochatko D, et al. Retrograde intramedullary nailing for ankle arthrodesis. Foot Ankle Int, 1995, 16(7): 433-436.
27.	Takenouchi K, Morishita M, Saitoh K, et al. Long-term results of ankle arthrodesis using an intramedullary nail with fins in patients with rheumatoid arthritis hindfoot deformity. J Nippon Med Sch, 2009, 76(5): 240-246.
28.	Mückley T, Klos K, Drechsel T, et al. Short-term outcome of retrograde tibiotalocalcaneal arthrodesis with a curved intramedullary nail. Foot Ankle Int, 2011, 32(1): 47-56.
29.	Niikura T, Miwa M, Sakai Y, et al. Ankle arthrodesis using antegrade intramedullary nail for salvage of nonreconstructable tibial pilon fractures. Orthopedics, 2009, 32(8): 611-614.
30.	Hoover JR, Santrock RD, James WC 3rd. Ankle fusion stability: a biomechanical comparison of external versus internal fixation. Orthopedics, 2011, 34(4): doi: 10. 3928/01477447-20110228-04.
31.	Ogut T, Glisson RR, Chuckpaiwong B, et al. External ring fixation versus screw fixation for ankle arthrodesis: a biomechanical comparison. Foot Ankle Int, 2009, 30(4): 353-360.
32.	Shah NS, De SD. Comparative analysis of uniplanar external fixator and retrograde intramedullary nailing for ankle arthrodesis in diabetic Charcot’s neuroarthropathy. Indian J Orthop, 2011, 45(4): 359-364.
33.	Fragomen AT, Meyers KN, Davis N, et al. A biomechanical comparison of micromotion after ankle fusion using 2 fixation techniques: intramedullary arthrodesis nail or Ilizarov external fixator. Foot Ankle Int, 2008, 29(3): 334-341.
34.	Eralp L, Kocaoqlu M, Yusof NM, et al. Distal tibial reconstruction with use of a circular external fixator and an intramedullary nail. The combined technique. J Bone Joint Surg (Am), 2007, 89(10): 2218-2224.

1. Kenzora JE, Simmons SC, Burgess AR, et al. External ﬁxation arthrodesis of the ankle joint following trauma. Foot Ankle, 1986, 7(1): 49-61.
2. Malarkey RF, Binski JC. Ankle arthrodesis with the Calandruccio frame and bimalleolar onlay grafting. Clin Orthop Relat Res, 1991, (268): 44-48.
3. Yousry AH, Abdalhady AM. Management of diabetic neuropathic ankle arthropathy by arthrodesis using an Ilizarov frame. Acta Orthop Belg, 2010, 76(6): 821-826.
4. El-Gafary KA, Mostafa KM, Al-Adly WY. The management of Charcot joint disease affecting the ankle and foot by arthrodesis controlled by an Ilizarov frame: early results. J Bone Joint Surg (Br), 2009, 91(10): 1322-1325.
5. EI-Alfy B. Arthrodesis of the ankle joint by Ilizarov external fixator in patients with infection or poor bone stock. Foot Ankle Surg, 2010, 16(2): 96-100.
6. Gessmann J, Ozokyay L, Fehmer T, et al. Arthrodesis of the infected ankle joint: results with the Ilizarov external fixator. Z Orthop Unfall, 2011, 149(2): 212-218.
7. Zarutsky E, Rush SM, Schuberth JM. The use of circular wire external ﬁxation in the treatment of salvage ankle arthrodesis. J Foot Ankle Surg, 2005, 44(1): 22-31.
8. Karapinar H, Sener M, Kazimoqlu C, et al. Arthrodesis of neuropathic ankle joint by Ilizarov fixator in diabetic patients. J Am Podiatr Assoc, 2009, 99(1): 42-48.
9. Bek D, Demiralp B, Kürklü M, et al. Ankle arthrodesis using an Ilizarov external fixator in patients wounded by landmines and gunshots. Foot Ankle Int, 2008, 29(2): 178-184.
10. Thiryayi WA, Naqui Z, Khan SA. Use of the Taylor spatial frame in compression arthrodesis of the ankle: a study of 10 cases. J Foot Ankle Srug, 2010, 49(2): 182-187.
11. Kiene J, Schulz AP, Hillbricht S, et al. Clinical results of resection arthrodesis by triangular external fixation for posttraumatic arthrosis of the ankle joint in 89 cases. Eur J Med Res, 2009, 14(1): 25-29.
12. Torudom Y. The results of ankle arthrodesis with screws for end stage ankle arthrosis. J Med Assoc Thai, 2010, 93 Suppl 2: S50-54.
13. Zwipp H, Rammelt S, Endres T, et al. High union rates and function scores at midterm followup with ankle arthrodesis using a four screw technique. Clin Orthop Relat Res, 2010, 468(4): 958-968.
14. Jeng CL, Baumbach SF, Campbell J, et al. Comparison of initial compression of the medial, lateral, and posterior screws in an ankle fusion construct. Foot Ankle Int, 2011, 32(1): 71-76.
15. Klouche S, El-Masri F, Graff W, et al. Arthrodesis with internal fixation of the infected ankle. J Foot Ankle Surg, 2011, 50(1): 25-30.
16. Rowan R, Davey KJ. Ankle arthrodesis using an anterior AO T plate. J Bone Joint Surg (Br), 1999, 81(1): 113-116.
17. Wera GD, Snotich JK. Tibiotalar arthrodesis using a custom blade plate. J Trauma, 2007, 63(6): 1279-1282.
18. Guo C, Yan Z, Barfield WR, et al. Ankle arthrodesis using anatomically contoured anterior plate. Foot Ankle Int, 2010, 31(6): 492-498.
19. Kakarala G, Rajan DT. Comparative study of ankle arthrodesis using cross screw fixation versus anterior contoured plate plus cross screw fixation. Acta Orthop Belgica, 2006, 72(6): 716-721.
20. Mohamedean A, Said HG, EI-Sharkawi M, et al. Technique and short-term results of ankle arthrodesis using anterior plating. Int Orthop, 2010, 34(6): 833-837.
21. Plaass C, Knupp M, Barq A, et al. Anterior double palting for rigid fixation of isolated tibiotalar arthrodesis. Foot Ankle Int, 2009, 30(7): 631-639.
22. 施忠民, 张弛, 顾文奇, 等. 经外踝截骨锁定钢板内固定行踝关节融合. 中国修复重建外科杂志, 2011, 25(7): 781-784.
23. Pinzur MS, Noonan T. Ankle arthrodesis with a retrograde femoral nail for Charcot ankle arthropathy. Foot Ankle Int, 2005, 26(7): 545-549.
24. Dalla Paola L, Volpe A, Varotto D, et al. Use of a retrograde nail for ankle arthrodesis in Charcot neuroarthropathy: a limb salvage procedure. Foot Ankle Int, 2007, 28(9): 967-970.
25. Fujimori J, Yoshino S, Koiwa M, et al. Ankle arthrodesis in rheumatoid arthritis using an intramedullary nail with ﬁns. Foot Ankle Int, 1999, 20(8): 485-490.
26. Moore TJ, Prince R, Pochatko D, et al. Retrograde intramedullary nailing for ankle arthrodesis. Foot Ankle Int, 1995, 16(7): 433-436.
27. Takenouchi K, Morishita M, Saitoh K, et al. Long-term results of ankle arthrodesis using an intramedullary nail with fins in patients with rheumatoid arthritis hindfoot deformity. J Nippon Med Sch, 2009, 76(5): 240-246.
28. Mückley T, Klos K, Drechsel T, et al. Short-term outcome of retrograde tibiotalocalcaneal arthrodesis with a curved intramedullary nail. Foot Ankle Int, 2011, 32(1): 47-56.
29. Niikura T, Miwa M, Sakai Y, et al. Ankle arthrodesis using antegrade intramedullary nail for salvage of nonreconstructable tibial pilon fractures. Orthopedics, 2009, 32(8): 611-614.
30. Hoover JR, Santrock RD, James WC 3rd. Ankle fusion stability: a biomechanical comparison of external versus internal fixation. Orthopedics, 2011, 34(4): doi: 10. 3928/01477447-20110228-04.
31. Ogut T, Glisson RR, Chuckpaiwong B, et al. External ring fixation versus screw fixation for ankle arthrodesis: a biomechanical comparison. Foot Ankle Int, 2009, 30(4): 353-360.
32. Shah NS, De SD. Comparative analysis of uniplanar external fixator and retrograde intramedullary nailing for ankle arthrodesis in diabetic Charcot’s neuroarthropathy. Indian J Orthop, 2011, 45(4): 359-364.
33. Fragomen AT, Meyers KN, Davis N, et al. A biomechanical comparison of micromotion after ankle fusion using 2 fixation techniques: intramedullary arthrodesis nail or Ilizarov external fixator. Foot Ankle Int, 2008, 29(3): 334-341.
34. Eralp L, Kocaoqlu M, Yusof NM, et al. Distal tibial reconstruction with use of a circular external fixator and an intramedullary nail. The combined technique. J Bone Joint Surg (Am), 2007, 89(10): 2218-2224.

Chinese Journal of Reparative and Reconstructive Surgery

RECENT PROGRESS OF FIXATION TECHNIQUES OF ANKLE ARTHRODESIS

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