Clinics in podiatric medicine and surgery
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Clin Podiatr Med Surg · Apr 2009
ReviewTibiotalocalcaneal arthrodesis for salvage of severe ankle degeneration.
Tibiotalocalcaneal arthrodesis is a successful and proven surgical procedure for patients who have significant arthritic changes, deformity, and failed previous operations. Surgical technique varies depending on the type of fixation. ⋯ Correction of the deformity with appropriate joint preparation and stable fixation is important for a good outcome. Other adjunctive materials, such as bone growth stimulators and orthobiologics, should be used appropriately to ensure adequate primary arthrodesis.
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Arthroscopic ankle arthrodesis provides the foot and ankle surgeon with an alternative to traditional open techniques. Advancements in arthroscopic techniques and instrumentation have made the procedure easier to perform. ⋯ This article reviews the literature on the subject and discusses the procedure's indications and contraindications, and surgical technique. It concludes that while total ankle replacement continues to grow in popularity, arthroscopic ankle arthrodesis is a viable alternative for management of the end-stage arthritic ankle.