Author(s): Maurer RC, Cimino WR, Cox CV, Satow GK
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Abstract Many techniques of ankle arthrodesis have been described. Failure rates of up to 40\% have been reported in the past. In this study, a technique for internal fixation of ankle fusions was employed using transarticular crossed-screw fixation. This provides bony coaptation, compression, and immobilization necessary for reliable union. Thirty-five patients had ankle arthrodesis with this technique of internal fixation and 12 patients had ankle fusions with Charnley compression arthrodesis. Follow-up evaluation averaged two years. The fusion rate was 100\% (35 fusions of 35 attempts) with the transarticular crossed-screw technique and 83\% (ten fusions of 12 attempts) with compression arthrodesis.
This article was published in Clin Orthop Relat Res
and referenced in Journal of Arthritis