Intra-Osseous Arthrodesis Techniques in the Foot and Ankle: Does it Really Hurt Less?

Foot & Ankle Orthopaedics

ChristopherHaydel¹ 

关键词: fusion;    hindfoot;    ankle;    arthrodesis;   

DOI  :  10.1177/2473011416S00210

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle ArthritisIntroduction/Purpose:Arthrodesis is considered the standard operative treatment for end-stage arthritis in the foot and ankle. The long-term effects of implant choices for fusions are largely unexplored in the literature. Many companies advertise implants as being "lower profile" and "less painful." The purpose of this study was to perform a clinical and radiographic review to determine outcomes, specifically rates of symptomatic hardware, using four major arthrodesis techniques in joints in the foot and ankle.Methods:A retrospective study was conducted including one-hundred and twenty-three patients (a total of 197 joints) who underwent arthrodesis of the ankle, or joints in the midfoot or hindfoot. A total of 197 joints underwent arthrodesis in this patient group. Four groups were created based on fixation methods; standard screw fixation, plate and screw fixation, screw-in- post fixation(so-called "intra-osseous" fixation), and a group using a combination of fixation methods. Th...

【 授权许可】

CC BY