J Korean Fract Soc.  1997 Jul;10(3):480-484. 10.12671/jksf.1997.10.3.480.

Ankle Arthrodesis by Internal Fixation with Cancellous Screws and Fibula Strut Graft: Report of Two Cases

• Wang JM
• Roh KJ
• Yun YH
• Kim DJ
• Eom JS

• KMID: 2195212
• DOI: http://doi.org/10.12671/jksf.1997.10.3.480

Abstract

We present two cases of ankle arthrodesis in which tibiotalar fixation was achieved by two cancellous-bone screws across the ankle joint and a lateral fibular strut graft fixed with a proximal and a distal screw. This operation is a technique described by Thordarson and his associates, who performed only an in vitro biomechanical study using fresh-frozen cadaver. Through the recent clinical trial, we could get excellent results in both of our cases. We feel the fibular strut graft provides additional stability to tibiotalar internal fixation. This technique may have a special value for those cases with poor bone quality or osteoporosis.

Keyword

Ankle Arthrodesis; Cancellous Screws; Fibular Strut Graft

MeSH Terms

Ankle Joint
Ankle*
Arthrodesis*
Cadaver
Fibula*
Osteoporosis
Transplants*