Modified Blair ankle fusion for ankle arthritis

Objective:To investigate the clinical outcome of modified Blair ankle fusion for ankle arthritis. Methods:Between November 2009 and June 2012, 28 patients with ankle arthritis were treated, among whom 11 had obvious foot varus deformity, and 17 were almost normal in appearance. There were 13 mal...

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Main Authors: Wang Shuangli, Huang Zhang, Xiong Gaoxin, Chen Guang, Yin Zhongxiang, Jiang Hua
Format: Article
Language:English
Published: Elsevier 2014-06-01
Series:Chinese Journal of Traumatology
Online Access:http://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/524
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author Wang Shuangli
Huang Zhang
Xiong Gaoxin
Chen Guang
Yin Zhongxiang
Jiang Hua
author_facet Wang Shuangli
Huang Zhang
Xiong Gaoxin
Chen Guang
Yin Zhongxiang
Jiang Hua
author_sort Wang Shuangli
collection DOAJ
description Objective:To investigate the clinical outcome of modified Blair ankle fusion for ankle arthritis. Methods:Between November 2009 and June 2012, 28 patients with ankle arthritis were treated, among whom 11 had obvious foot varus deformity, and 17 were almost normal in appearance. There were 13 males and 15 females with an average age of 49.4 years (range, 23-67 years). The main symptoms included swelling, pain, and a limited range of motion of the ankles. The ankle joints functions were assessed by American Orthopedic Foot and Ankle Society (AOFAS) ankle and hindfoot score and visual analog scale (VAS) preoperatively and at 1 year follow-up. Results:Twenty-eight patients were followed up for 19.8 months on average (range, 1-2 years). Superficial wound infection occurred in 3 cases, and was cured after debridement; the other incisions healed by first intention without complications. All ankles were fused at 1 year follow-up after operation. The symptom was relieved completely in all patients at last follow-up without complication of implant failure, or nonunion. The postoperative AOFAS ankle and hindfoot score was 83.13±3.76, showing significant difference when compared with the preoperative score (45.38±3.21, P<0.01). VAS was significantly decreased from 8.01±0.63 to 2.31±1.05 at 1 year follow-up (P<0.05). Conclusion:Modified Blair ankle fusion has the advantages of high feasiblity, less cost and rigid fixation. It shows high reliability in pain relief and may obtain a good clinical effectiveness. Key words: Ankle; Arthritis; Arthrodesis; Fracture fixation, intramedullary
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spelling doaj.art-97adbb6e88074923b3b09949440875182022-12-21T18:58:08ZengElsevierChinese Journal of Traumatology1008-12752014-06-01173136140312Modified Blair ankle fusion for ankle arthritisWang ShuangliHuang ZhangXiong GaoxinChen GuangYin ZhongxiangJiang HuaObjective:To investigate the clinical outcome of modified Blair ankle fusion for ankle arthritis. Methods:Between November 2009 and June 2012, 28 patients with ankle arthritis were treated, among whom 11 had obvious foot varus deformity, and 17 were almost normal in appearance. There were 13 males and 15 females with an average age of 49.4 years (range, 23-67 years). The main symptoms included swelling, pain, and a limited range of motion of the ankles. The ankle joints functions were assessed by American Orthopedic Foot and Ankle Society (AOFAS) ankle and hindfoot score and visual analog scale (VAS) preoperatively and at 1 year follow-up. Results:Twenty-eight patients were followed up for 19.8 months on average (range, 1-2 years). Superficial wound infection occurred in 3 cases, and was cured after debridement; the other incisions healed by first intention without complications. All ankles were fused at 1 year follow-up after operation. The symptom was relieved completely in all patients at last follow-up without complication of implant failure, or nonunion. The postoperative AOFAS ankle and hindfoot score was 83.13±3.76, showing significant difference when compared with the preoperative score (45.38±3.21, P<0.01). VAS was significantly decreased from 8.01±0.63 to 2.31±1.05 at 1 year follow-up (P<0.05). Conclusion:Modified Blair ankle fusion has the advantages of high feasiblity, less cost and rigid fixation. It shows high reliability in pain relief and may obtain a good clinical effectiveness. Key words: Ankle; Arthritis; Arthrodesis; Fracture fixation, intramedullaryhttp://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/524
spellingShingle Wang Shuangli
Huang Zhang
Xiong Gaoxin
Chen Guang
Yin Zhongxiang
Jiang Hua
Modified Blair ankle fusion for ankle arthritis
Chinese Journal of Traumatology
title Modified Blair ankle fusion for ankle arthritis
title_full Modified Blair ankle fusion for ankle arthritis
title_fullStr Modified Blair ankle fusion for ankle arthritis
title_full_unstemmed Modified Blair ankle fusion for ankle arthritis
title_short Modified Blair ankle fusion for ankle arthritis
title_sort modified blair ankle fusion for ankle arthritis
url http://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/524
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