Arthroscopic Ankle Arthrodesis Using Three Cannulated Screws

3개의 유관 나사를 이용한 관절경적 족근 관절 고정술

  • Kim, Kyung-Tae (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital) ;
  • Lee, Song (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital) ;
  • Ko, Dong-Oh (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital) ;
  • Yang, Seung-Jin (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital) ;
  • Chun, Tae-Hwan (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital) ;
  • Yang, Jong-Hwa (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital)
  • 김경태 (서울성심병원 정형외과) ;
  • 이송 (서울성심병원 정형외과) ;
  • 고동오 (서울성심병원 정형외과) ;
  • 양승진 (서울성심병원 정형외과) ;
  • 전태환 (서울성심병원 정형외과) ;
  • 양종화 (서울성심병원 정형외과)
  • Published : 2009.10.31

Abstract

Purpose: We evaluated the clinical and radiographic results of arthroscopic ankle arthrodesis using 3 cannulated screws for the treatment of arthritis of ankle. Materials and Methods: From May 2006 to February 2009, 17 cases of arthritis of ankle were treated by ankle arthrodesis using 3 cannulated screws under arthroscopy. There were 8 male and 7 female and the average age was 62.2 years. We evaluated them clinically using AOFAS ankle-hindfoot functional scale, VAS pain score and patient’s satisfaction. For the radiographic evaluation, we checked them by simple AP, lateral and mortise view. The average follow-up period was 24.2 months. Results: The ankle-hindfoot functional scale was improved from an average of 47.4 points preoperatively to an average of 82.5 points at the last follow-up. The visual analogue scale pain score was decreased from an average of 8.6 to 2.4. Patient's satisfaction had favorable results with excellent in 7 cases(41.2%), good in 8 cases(47.0%), fair in 1 case(5.9%) and poor in1 case(5.9%). All ankles were successfully fused and the mean period of fusion was 9.1 weeks. Conclusion: Arthroscopic ankle arthrodesis using 3 cannulated screws was good modality of ankle arthrodesis with good clinical results and high union rate in the case of advanced ankle arthritis.