Long-term results of tibiotalar arthrodesis

One hundred and one tibiotalar arthrodeses were performed using a single surgical technique that has not been previously reported. The average follow-up was ten years (range, two to twenty-five years). The rate of pseudarthrosis was 5 per cent, four to five times less than in other recent large repo...

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Bibliographic Details
Published inJournal of bone and joint surgery. American volume Vol. 67; no. 4; p. 546
Main Authors Morgan, C D, Henke, J A, Bailey, R W, Kaufer, H
Format Journal Article
LanguageEnglish
Published United States 01.04.1985
Subjects
Adolescent
Adult
Ankle Joint - diagnostic imaging
Ankle Joint - surgery
Arthritis - surgery
Arthrodesis - methods
Female
Follow-Up Studies
Humans
Joint Diseases - surgery
Male
Middle Aged
Postoperative Complications - etiology
Pseudarthrosis - etiology
Radiography
Talus - surgery
Tibia - surgery
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Summary:One hundred and one tibiotalar arthrodeses were performed using a single surgical technique that has not been previously reported. The average follow-up was ten years (range, two to twenty-five years). The rate of pseudarthrosis was 5 per cent, four to five times less than in other recent large reports. Pseudarthrosis occurred only in patients with a sensory deficit. Secure fusion was radiographically documented in 95 per cent and the functional clinical result was good to excellent in 90 per cent. The ideal fusion position was found to be neutral or slight equinus angulation, and varus-valgus angulation equal to that of the contralateral side. More than 7 degrees of varus angulation of the heel was associated with symptomatic lateral metatarsalgia in all feet in which it occurred. Radiographic measurement documented an average 85 per cent (11-degree) increase in postoperative tarsal motion. Neither symptoms nor function correlated with the degree of tarsal hypermobility.
ISSN:0021-9355
DOI:10.2106/00004623-198567040-00007