Artrodese do tornozelo

Abstract

Multiple techniques for ankle arthrodesis have been described. A dual approach, medial and lateral, is utilized. This permits excellent visualization of the ankle joint so that correction of the deformity can readily be achieved under direct visualization. The fusion site was stabilized with two or three 6,5 mm cancellous or malleolar screws. No bone graft was utilized. The postoperative regimen was six weeks nonweightbearing in a short leg cast, followed by weight bearing until union occurred. This technique provides a high union rate while permiting early mobilization of the adjacent joints with earlier return to satisfactory function.