Revised: August 22, 2013
Accepted: November 15, 2013
Published online: January 18, 2014
Ankle arthrodesis is a common procedure that resolves many conditions of the foot and ankle; however, complications following this procedure are often reported and vary depending on the fixation technique. Various techniques have been described in the attempt to achieve ankle arthrodesis and there is much debate as to the efficiency of each one. This study aims to evaluate the efficiency of anterior plating in ankle arthrodesis using customised and Synthes TomoFix plates. We present the outcomes of 28 ankle arthrodeses between 2005 and 2012, specifically examining rate of union, patient-reported outcomes scores, and complications. All 28 patients achieved radiographic union at an average of 36 wk; the majority of patients (92.86%) at or before 16 wk, the exceptions being two patients with Charcot joints who were noted to have bony union at a three year review. Patient-reported outcomes scores significantly increased (P < 0.05). Complications included two delayed unions as previously mentioned, infection, and extended postoperative pain. With multiple points for fixation and coaxial screw entry points, the contoured customised plate offers added compression and provides a rigid fixation for arthrodesis stabilization.
Core tip: Ankle arthrodesis is a common procedure that resolves many conditions of the foot and ankle; however, complications are common. Complications vary with the technique described and there is not much agreement on the most advantageous method. This study evaluates the efficiency of anterior plating in ankle arthrodesis using customised and Synthes TomoFix plates. We present the outcomes of 28 ankle arthrodeses performed by a single orthopedic surgeon between 2005 and 2012, specifically examining rate of union, patient-reported outcomes scores, and complications. Contoured customised plates offer added compression and provide a rigid fixation for arthrodesis stabilization with few complications.