The Marcus ankle arthrodesis was carried out in 16 patients at department of orthopaedic surgery of Korea Veterans Hospital from January 1989 to December 1993. All of patients were reviewed and evaluated with subjective and functional rating
scales
according to the Marcus scoring system. The average follow up was 23 months. ranging from 12 months to 60 months
The Marcus ankle arthrodesis involves a chevron osteotomy, tibial onlay graft medialy, internal fixation with staples and screws.
According to the Mazur score, the results were 6 cases of Excellent, 7 cases of Good. The average Mazur score was 75.1. There were 4 cases of complication, a non-union, a supericial wound infection a bursitis, and a tendon injury.
In summary the Marcus ankle arthrodesis by chevron osteotomy seems to be a good procedure, which gives solid bony union with short duration, relief of pain, normal looking ankle configuration without length discrepancy and good function with few
complication.
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