Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical Technique
Ankle arthrodesis is still considered the gold standard in the treatment of advanced painful ankle osteoarthritis. More than 3 decades ago, it was performed under arthroscopy; thereafter, many authors have reported excellent results and a low complication rate. Despite the significant improvements i...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717302384 |
| _version_ | 1819097942937567232 |
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| author | Alessio Bernasconi, M.D. Nazim Mehdi, M.D. François Lintz, M.D., F.E.B.O.T. |
| author_facet | Alessio Bernasconi, M.D. Nazim Mehdi, M.D. François Lintz, M.D., F.E.B.O.T. |
| author_sort | Alessio Bernasconi, M.D. |
| collection | DOAJ |
| description | Ankle arthrodesis is still considered the gold standard in the treatment of advanced painful ankle osteoarthritis. More than 3 decades ago, it was performed under arthroscopy; thereafter, many authors have reported excellent results and a low complication rate. Despite the significant improvements in surgical techniques, nonunion remains a problematic and relatively frequent event. This is one of the reasons the research is constantly active in this field. Ten years ago, a fibular resection during ankle arthrodesis was, for the first time, described in the literature as a means to correct malalignment in varus cases. Nowadays, we perform a similar technique during all arthroscopic ankle arthrodeses, regardless of the kind of preoperative deformity (varus, valgus, or normal alignment). In this article, we describe the arthroscopic technique to perform a fibular intra-articular resection during arthroscopic ankle arthrodesis, joining the benefits of arthroscopic minimal invasiveness to the full joint contact gained after such a fibular osteotomy. In our opinion, this would be the only way through which full contact between the talar and tibial surfaces may be achieved. |
| first_indexed | 2024-12-22T00:23:07Z |
| format | Article |
| id | doaj.art-89882ee012c44a4694de64149da4a0e8 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T00:23:07Z |
| publishDate | 2017-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-89882ee012c44a4694de64149da4a0e82022-12-21T18:45:07ZengElsevierArthroscopy Techniques2212-62872017-10-0165e1865e1870Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical TechniqueAlessio Bernasconi, M.D.0Nazim Mehdi, M.D.1François Lintz, M.D., F.E.B.O.T.2Department of Public Health, Orthopaedic and Traumatology Unit, “Federico II” Naples University School of Medicine and Surgery, Naples, ItalyClinique de l'Union, Ankle and Foot Surgery Center, Saint-Jean, FranceClinique de l'Union, Ankle and Foot Surgery Center, Saint-Jean, France; Address correspondence to François Lintz, M.D., F.E.B.O.T., Clinique de l'Union, Ankle and Foot Surgery Center, Boulevard de Ratalens, 31240 Saint-Jean, France.Ankle arthrodesis is still considered the gold standard in the treatment of advanced painful ankle osteoarthritis. More than 3 decades ago, it was performed under arthroscopy; thereafter, many authors have reported excellent results and a low complication rate. Despite the significant improvements in surgical techniques, nonunion remains a problematic and relatively frequent event. This is one of the reasons the research is constantly active in this field. Ten years ago, a fibular resection during ankle arthrodesis was, for the first time, described in the literature as a means to correct malalignment in varus cases. Nowadays, we perform a similar technique during all arthroscopic ankle arthrodeses, regardless of the kind of preoperative deformity (varus, valgus, or normal alignment). In this article, we describe the arthroscopic technique to perform a fibular intra-articular resection during arthroscopic ankle arthrodesis, joining the benefits of arthroscopic minimal invasiveness to the full joint contact gained after such a fibular osteotomy. In our opinion, this would be the only way through which full contact between the talar and tibial surfaces may be achieved.http://www.sciencedirect.com/science/article/pii/S2212628717302384 |
| spellingShingle | Alessio Bernasconi, M.D. Nazim Mehdi, M.D. François Lintz, M.D., F.E.B.O.T. Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical Technique Arthroscopy Techniques |
| title | Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical Technique |
| title_full | Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical Technique |
| title_fullStr | Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical Technique |
| title_full_unstemmed | Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical Technique |
| title_short | Fibular Intra-articular Resection During Arthroscopic Ankle Arthrodesis: The Surgical Technique |
| title_sort | fibular intra articular resection during arthroscopic ankle arthrodesis the surgical technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717302384 |
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