Ankle Arthrodesis Using an Anterior AO T Plate
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- Category: Vol. 77, June 2009
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Ankle Arthrodesis Using an Anterior AO T Plate,SAMEER M.S. KHALED S. SALAMA and MOHAMAD A. RADWAN
Abstract
Fracture-dislocation of the talus is one of the most severe injuries of the ankle. Opinion varies widely regarding the proper treatment of this injury.
We used a surgical technique for ankle arthrodesis using an anterior approach to the ankle and internal fixation with an anteriorly-placed AO T plate. The present study reports the results of tibiotalar arthrodesis with a technique which was developed by the Davey KJ.
Eleven cases were retrospectively studied. The average age was 32 years (range, 26-51 years). Six patients had posttraumatic avascular necrosis; five had neglected fracture-dislocation of the talus.
10 out of eleven of the ankles fused although one patient developed tibial stress fractures. 2 patients had a superficial infection which did not prevent union. The surgical technique is simple, easily reproducible and gives excellent clinical results with a high rate of union.