Abstract
Background
The aim of this study was to explore the clinical efficacy of ankle arthrodesis with
different internal fixation methods in the treatment of post-traumatic osteoarthritis.
Methods
We collected 85 patients with post-traumatic osteoarthritis who underwent different
ankle arthrodesis between December 2015 and December 2020. The operation performance,
complication rate, hindfoot alignment, talus tilt angle, visual analogue scale (VAS),
and American Orthopedic Foot and Ankle Society (AOFAS) score were preoperatively and
postoperatively evaluated.
Results
In an anterior approach, the locking plate-fixation exhibited a similarity in operation
time, incision length, postoperative drainage, bone fusion, hindfoot alignment, and
talus tilt angle with fibula support compression screw-fixation, but it was better
in increasing postoperative AOFAS. The locking plate-fixation in the anterior approach
had lower operation time, incision length, and postoperative drainage than that in
the lateral approach. In addition, the lateral locking plate combined with posterolateral
compression screw fixation (LLPPCSF) presented shorter bone fusion time, higher AOFAS
score, and lower complication rate than either plate- or screw-fixation alone.
Conclusion
Lateral locking plate fixation was better than fibula support compression screw fixation
in relieving postoperative pain. Anterior locking plate fixation was more time-saving
and less invasiveness than lateral locking plate fixation, but its application was
limited in low degree of ankle deformation. LLPPCSF was the most effective in improving
bone fusion and postoperative pain, considering an optimal option for the treatment
of post-traumatic osteoarthritis.
Keywords
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Article info
Publication history
Published online: February 27, 2023
Accepted:
February 14,
2023
Received in revised form:
January 6,
2023
Received:
June 22,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
