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KMID : 1037920150020020110
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Arthroscopy and Orthopedic Sports Medicine
2015 Volume.2 No. 2 p.110 ~ p.116
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Arthroscopic ankle arthrodesis
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Seo Sang-Gyo
Seo Jeong-Ho
Lee Ho-Seong
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Abstract
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Arthroscopy-guided ankle arthrodesis, a minimally invasive procedure, has been made possible with developments in arthroscopic techniques and instruments over the past two decades. By reviewing the literature we found that the mean union rate after arthroscopic ankle arthrodesis is 93.5%, and the individual union rates after arthroscopic ankle arthrodesis were either similar to or higher than that after open ankle arthrodesis. Interestingly, our review of the literature also showed that the time-to-union for arthroscopic ankle arthrodesis was shorter than that for open ankle arthrodesis suggesting a swifter postoperative recovery time for the former method. Such benefits and good outcomes of arthroscopic ankle arthrodesis have been testified in many reports. Because re-alignment of the deformity is difficult, only the arthritic patients whose deformity is not severe have been indicated for arthroscopic ankle arthrodesis; however, recent advancements in total ankle replacement that works for patients even with mild deformity has challenged ankle arthrodesis as the treatment of choice for arthritis. In conclusion, end-stage ankle arthritis should be well discerned as a useful indication for arthroscopic ankle arthrodesis. End-stage ankle osteoarthritis with high risk for wound complication may be used as one of the most appropriate indications for arthroscopic ankle arthrodesis.
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KEYWORD
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Ankle, Arthritis, Arthroscopic surgery, Arthrodesis
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