Arthroscopic Ankle Arthrodesis

Kashin-Beck disease (KBD) is an endemic degenerative osteoarthritis. Death of cartilage and growth plate is the pathologic feature; therefore, KBD involves skeletal deformity and often results in osteoarthritis. Deficiency of selenium, high humic acid levels in water, and fungi on storage gains are considered the cause of KBD. The most frequently involved joints are ankles, knees, wrists, and elbows and symptoms are pain and limited motions of those joints. The main treatments for KBD are rehabilitation and osteotomy to correct the deformities because preventive treatment has not been established. In this report, we present a case of ankle osteoarthritis due to KBD and first describe arthroscopic ankle arthrodesis for treating osteoarthritis of KBD.

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Converting Ankle Arthrodesis to a Total Ankle Arthroplasty

Orthopedic Clinics of North America ◽

10.1016/j.ocl.2020.12.005 ◽

2021 ◽

Author(s):

J. Chris Coetzee ◽

Fernando Raduan ◽

Rebecca Stone McGaver

Keyword(s):

Ankle Arthrodesis ◽

Total Ankle Arthroplasty ◽

Ankle Arthroplasty

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Accuracy and quality of the British Orthopaedic Foot and Ankle Society (BOFAS) Registry — Ankle Arthrodesis Pathway

Foot and Ankle Surgery ◽

10.1016/j.fas.2021.04.011 ◽

2021 ◽

Author(s):

Jadhakhan Feroz ◽

Makwana Nilesh ◽

Mason Lyndon ◽

Halliwell Paul ◽

Rushton Alison

Keyword(s):

Ankle Arthrodesis ◽

Foot And Ankle

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Risk Factors for Nonunion Following Ankle Arthrodesis: A Systematic Review and Meta-analysis

Foot & Ankle Specialist ◽

10.1177/1938640021998493 ◽

2021 ◽

pp. 193864002199849

Author(s):

Sumit Patel ◽

Lauren Baker ◽

Jose Perez ◽

Ettore Vulcano ◽

Jonathan Kaplan ◽

...

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Avascular Necrosis ◽

Strong Evidence ◽

Meta Analysis ◽

Ankle Arthrodesis ◽

Male Gender ◽

Site Infection ◽

Open Injury ◽

History Of

Background Nonunion is a postoperative complication after ankle arthrodesis (AA), which leads to increased morbidity and revision rates. Previous studies have identified risk factors for nonunion following AA, but no meta-analysis has been performed to stratify risk factors based on strength of evidence. Methods Abstracts and full-text articles were screened by 2 independent reviewers. Relevant data were extracted from the included studies. Random effects meta-analyses were summarized as forest plots of individual study and pooled random effect results. Results Database search yielded 13 studies involving 987 patients were included, and 37 potential risk factors for nonunion. Meta-analysis found 5 significant risk factors for nonunion post-AA. Strong evidence supports male gender (OR: 1.96; 95% CI: 1.13-3.41), smoking (OR: 2.89; 95% CI: 1.23-6.76), and history of operative site infection prior to arthrodesis (OR: 2.40; 95% CI: 1.13-5.09) as predictors for nonunion following AA. There was moderate evidence supporting history of open injury (OR: 5.95; 95% CI: 2.31-15.38) and limited evidence for preoperative avascular necrosis (OR: 13.16; 95% CI: 2.17-79.61) as possible risk factors for nonunion. Conclusion The results of our meta-analysis suggest that male gender, smoking, and history of operative site infection have strong evidence and that history of open injury and avascular necrosis also have evidence as risk factors for nonunion. Surgeons should be cognizant of these risks when performing AA and closely follow up with patients with the aforementioned risk factors to ensure postoperative success. Levels of Evidence: Level V: Systematic review of cohort and case-control studies

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