External fixation arthrodesis of the ankle joint following trauma

J. E. Kenzora, S. C. Simmons, A. R. Burgess, C. C. Edwards

Research output: Contribution to journalArticle

Abstract

Arthrodesis is currently the treatment of choice for symptomatic degenerative arthropathy of the ankle. Thirty-seven patients underwent arthrodesis for post-traumatic disorders using either a Hoffmann external fixator or a Calandruccio frame. There was degenerative joint disease in 19 (51%), septic arthritis in 11 (30%), severe comminution in five (14%), and uncontrollable equinus in two (5%). The patients were divided into two groups. Twenty-six (70%) were considered to have sustained high energy open or comminuted injuries and 11 (30%), low energy injuries. Twenty-nine (78%) achieved a radiologic fusion following one operation. Four eventually united with further surgery for a final arthrodesis rate of 89%. In the high energy group 18 of 26 (69%) achieved primary fusion. Four united with additional surgery for a final arthrodesis rate of 85%. Two of these required subsequent amputations and two others, a triple arthrodesis which also failed to control chronic pain. Thus, a total of 18 of the 26 patients (69%) achieved a successful result. Also included in the high energy group were three patients with uncontrolled sepsis who underwent amputation before union occurred and one with a painful non-union. All 11 of the patients (100%) who originally sustained low energy injuries achieved a successful arthrodesis. The most common complication was pin tract infection requiring incision, drainage, and oral antibiotics in 16 patients (43%). None of these progressed to chronic osteomyelitis.

Original languageEnglish (US)
Pages (from-to)49-61
Number of pages13
JournalFoot and Ankle
Volume7
Issue number1
StatePublished - 1986
Externally publishedYes

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Ankle Joint
Arthrodesis
Wounds and Injuries
Amputation
External Fixators
Infectious Arthritis
Joint Diseases
Osteomyelitis
Ankle
Chronic Pain
Osteoarthritis
Drainage
Sepsis
Anti-Bacterial Agents
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Kenzora, J. E., Simmons, S. C., Burgess, A. R., & Edwards, C. C. (1986). External fixation arthrodesis of the ankle joint following trauma. Foot and Ankle, 7(1), 49-61.

External fixation arthrodesis of the ankle joint following trauma. / Kenzora, J. E.; Simmons, S. C.; Burgess, A. R.; Edwards, C. C.

In: Foot and Ankle, Vol. 7, No. 1, 1986, p. 49-61.

Research output: Contribution to journalArticle

Kenzora, JE, Simmons, SC, Burgess, AR & Edwards, CC 1986, 'External fixation arthrodesis of the ankle joint following trauma', Foot and Ankle, vol. 7, no. 1, pp. 49-61.
Kenzora JE, Simmons SC, Burgess AR, Edwards CC. External fixation arthrodesis of the ankle joint following trauma. Foot and Ankle. 1986;7(1):49-61.
Kenzora, J. E. ; Simmons, S. C. ; Burgess, A. R. ; Edwards, C. C. / External fixation arthrodesis of the ankle joint following trauma. In: Foot and Ankle. 1986 ; Vol. 7, No. 1. pp. 49-61.
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