The Journal of Bone and Joint Surgery, Vol 65, Issue 2 219-225, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc
Compression arthrodesis of the ankle. Evaluation of a cosmetic modification
MJ Stewart, TC Beeler and JC McConnell
Between 1955 and 1979, a modification of the compression arthrodesis of the
ankle was performed in twenty-eight patients at The Campbell Clinic. The
ages of the patients ranged from twenty-one to seventy-seven years, with an
average of 48.4 years. The modification narrows both the medial and lateral
sides of the ankle, resulting in a much better cosmetic appearance as the
fused ankle is essentially the same width as the normal ankle. The distal
end of the tibia and the talus are easily approached through anteromedial
and anterolateral incisions, and all articular cartilage can be removed
without difficulty. A solid arthrodesis was achieved in 92.8 per cent of
the ankles, a higher percentage than in most reported series. Not only is
the final appearance of the ankle more pleasing to the patient, but the
modification also eliminates the complication of irritation and abrasion of
the soft tissue beneath the malleoli by the top of the shoe.
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