Arthroscopic Ankle Fusion: The Posterior Approach

Abstract

Arthrodesis of the ankle is a well-established procedure for managing end-stage arthritis of the ankle. Because the most common cause of ankle arthritis is previous trauma, it often presents with compromised soft tissues. The evolution of arthroscopy has led to several arthroscopic techniques for ankle arthrodesis. The universal primary goal of these techniques is reliable fusion of the bones of the ankle with a reduced risk of complication. The posterior arthroscopic approach to ankle fusion presented in this article has several well-defined advantages. It offers a wide view and working area while allowing for maximal compression of the talar surface onto the tibial dome with two parallel screws. The position of the foot is well controlled through the direct visualization of hindfoot alignment. From the time of its introduction into our practice, the posterior arthroscopic approach to ankle fusion has proven to be a safe and reliable treatment option.

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