Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.
FREE TRIAL
Learn the Ankle arthrodesis (fusion): Trans-fibular approach surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Ankle arthrodesis (fusion): Trans-fibular approach surgical procedure.
An open ankle fusion is a relatively straight-forward operation which in appropriate patients is transformatory (both in terms of pain reduction and function).
The risk associated is in practical terms “front loaded” and relates mainly to non-union.
Late onset subtalar and midfoot arthritis is likely as a radiographic phenomenon, though not likely to require later surgery.
There are a number of different techniques described to perform the operation. Which one is chosen is less relevant than ensuring a correct and functional alignment is achieved intra-operatively with appropriate joint surface preparation and that the compensatory joints (subtalar and midfoot) are free of significant arthritic change and asymptomatic.
A sound ankle fusion is entirely compatible with heavy manual work
Author: Mr Mark Herron, FRCS.
Institution: The Wellington Hospital, London, UK.
Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country.
In the USA contact: fda.gov
In the UK contact: gov.uk
In the EU contact: ema.europa.eu
00:00
