Application of Ilizarov External Fixator in the Arthrodesis of End-stage Complex Ankle Arthritis

Yang Yong Qiang; Fu Chang Hong; Li Fu Bing; Yao Ling; Wan Zhi Ying; Li Jun

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Article Navigation > Journal of Kunming Medical University > 2017 > 38(07): 60-63

Yang Yong Qiang , Fu Chang Hong , Li Fu Bing , Yao Ling , Wan Zhi Ying , Li Jun . Application of Ilizarov External Fixator in the Arthrodesis of End-stage Complex Ankle Arthritis[J]. Journal of Kunming Medical University, 2017, 38(07): 60-63.

Citation:

Yang Yong Qiang , Fu Chang Hong , Li Fu Bing , Yao Ling , Wan Zhi Ying , Li Jun . Application of Ilizarov External Fixator in the Arthrodesis of End-stage Complex Ankle Arthritis[J]. Journal of Kunming Medical University, 2017, 38(07): 60-63.

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Application of Ilizarov External Fixator in the Arthrodesis of End-stage Complex Ankle Arthritis

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基金：国家自然科学基金资助项目 (81171734);

Received Date: 2017-04-10

Abstract

Abstract

Objective To analyze the clinical effects of Ilizarov external fixation in arthrodesis on patients with end-stage complex ankle arthritis. Methods From January 2013 to May 2014, 19 patients with end-stage complicated ankle arthritis in our hospital underwent ankle arthrodesis with Ilizarov external fixation. X-ray were conducted regularly after the operation. Clinical outcomes were evaluated by using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and the Visual Analogue Scale (VAS) in pre-operation and the last follow-up. T-test was applied to analyze data. Results The 19 patients obtained an average follow-up of14.7 months (ranging from 6 to 25 months) , no injury to key vascular and nerves during operation. Ankle pain was obviously relieved, and deformity was improved significantly at the last follow-up. All patients achieved full arthrodesis according to the X-ray results after 11 to 16 weeks (average of 14.7 weeks) . In the Visual Analogue Scale, preoperative resting state was scored 4.9 and the weight state was 7.9, which were significantly reduced to 1.2 and 1.9 respectively after operation (P=0.000) . In AOFAS ankle-hindfoot score, the pre-operative score was 58.74±4.00, which significantly increased to 93.21±4.47 in the last follow-up (P=0.000) . Conclusions Ilizarov external fixator is effective in the arthrodesis of end-stage complex ankle arthritis. And its advantage shows in axial compression, smaller soft tissue injury, and higher fusion rate.
- Ankle arthritis,
- Ankle arthrodesis,
- Ilizarov external fixation

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References(18)

References

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