Ankle Arthrodesis Using Crossed Compression Screws

Ankle Arthrodesis Using Crossed Compression Screws

  • IMJ Iraqi Medical Journal
Keywords: Ankle, Arthrodesis, Crossed, Compression, Screws



Background: Ankle arthrodesis was first described by Albert in 1882, it was indicated for residuum poliomyelitis, posttraumatic arthritis and rheumatoid arthritis to provide stable plantigrade foot for ambulation.

Objectives: To assess the effectiveness of crossed screws in obtaining arthrodesis of ankle in comparison to other modalities.

Methods: Between July 2012 to May 2014, 12 patients had fusion of the ankle joint by internal fixation using crossed screws, they were operated upon at the AL-Wassity teaching hospital and AL-Sheikh Zayed hospital. The range of age was from 18-36 years old with an average of 27 years, 6 males and 6 females. The indications for arthrodesis was 7 patients (58.33%) with paralytic poliomyelitis with unstable ankle joint, 3 patients (25%) with posttraumatic arthritis and 2 patients (16.67%) with foot drop following sciatic nerve injury. The duration of follow up was form 6-24 months all the patients were evaluated every 3 months postoperatively.

Results: At final follow up union occurred in 11 out of 12 patients (91.7%), 2 patients (16.6%) rated as excellent, 8 patients (66.6%) rated as good, 1 patient (8.3%) fair and 1 patient rated as poor (8.3%) due to no union.

Conclusion: This technique of ankle arthrodesis is simple, reliable way for obtaining fusion and it avoids the inconvenience of external fixation and risk of pin tract infection.

Keywords: Ankle arthrodesis, Compression screws.


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