Arthroscopic Ankle Fusion using OrthoSolutions CSS screws Surgical Technique
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CPD/CME Points: 1.5
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An arthroscopic ankle fusion probably has consistently the highest union rate of any ankle fusion technique. Often associated with low levels of short-lived post-operative pain if bone quality is good there is the possibility of early limited weight-bearing in compliant patients. Union rates in excess of 90% are normal and much of the post operative period can be spent in a post-operative boot rather than cast given the inherent stability of the maintained (as opposed to flat cut) articular surfaces.
In the presence of a mobile compensatory mid-foot and hind-foot a normal or largely normal gait pattern can be expected .Appropriate patient selection is important and in-particular considering fusion carefully in those with pre-exisiting sub-talar or midfoot arthrosis which will deteriorate in many cases.
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London