Title : Ankle arthrodesis using medial malleolar osteotomy: Radiographic outcomes in patients with medial ankle arthritis and concurrent bone defects
Abstract:
This study investigates the radiographic outcomes of ankle arthrodesis in a cohort of 23 patients with both medial ankle arthritis and concurrent bone defects, focusing on the application of medial malleolar osteotomy as a pivotal surgical technique. The patients, with an average age of 67.8 years, underwent ankle arthrodesis, excluding individuals with inflammatory arthritis or neuropathic arthropathy to maintain a specific focus.
The preoperative assessment revealed a mean talar tilt angle of 20.5 degrees, emphasizing the severity of the varus tilt in these cases. To address the intricate challenges posed by medial ankle arthritis and accompanying medial bone defects, the surgical team employed two distinct techniques. 10 patients underwent oblique medial malleolar osteotomy, while the remaining 13 received vertical rectangular osteotomy with a strut tricortical allobone graft.
Among the patient cohort, there were specific outcomes related to union success. Notably, one case demonstrated failed union, and two others experienced delayed union. However, it's essential to highlight that the majority of patients achieved radiographic union. On the other hand, among the 13 patients who received vertical rectangular osteotomy with a strut allobone graft, only one instance of delayed union was observed.
The findings highlight the effectiveness of medial malleolar osteotomy in addressing the complexities associated with medial ankle arthritis and concurrent bone defects during ankle arthrodesis. The study provides valuable insights into the surgical nuances required for optimal outcomes in these challenging cases.
In conclusion, the utilization of medial malleolar osteotomy emerges as a viable and effective approach in ankle arthrodesis for patients dealing with both medial ankle arthritis and accompanying bone defects. The study contributes valuable knowledge to the orthopedic field by presenting specific techniques and their associated radiographic outcomes, emphasizing the importance of tailored approaches to meet the unique challenges presented by each patient.
What will audience learn from your presentation?
- ankle arthritis, ankle arthrodesis, medial malleolar osteotomy, radiographs
- The audience will gain a deep understanding of advanced surgical techniques involving medial malleolar osteotomy for ankle arthrodesis in cases with medial ankle arthritis and concurrent bone defects. Surgeons and orthopedic practitioners will be able to incorporate these techniques into their skill set.
- The research offers practical benefits for orthopedic surgeons, researchers, educators, and designers by providing valuable insights into surgical techniques, potential complications, and outcomes in cases of ankle arthrodesis involving medial ankle arthritis and concurrent bone defects. The information gleaned from this study can positively impact patient care, inspire further research, and potentially lead to innovations in surgical tools and techniques.
