Early Weight Bearing Ambulation after Arthroscopic Ankle Arthrodesis.
10.14193/jkfas.2014.18.4.183
- Author:
Yoon Chung KIM
1
;
Sung Wook CHO
;
Jin Wha CHUNG
Author Information
1. Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, School of Medicine, The Catholic Universtiy of Korea, Seoul, Korea. koreafoot@gmail.com
- Publication Type:Original Article
- Keywords:
Ankle;
Arthroscopy;
Arthrodesis;
Early weight bearing
- MeSH:
Ankle*;
Arthrodesis*;
Arthroscopy;
Follow-Up Studies;
Humans;
Leg;
Medical Records;
Visual Analog Scale;
Walking*;
Weight-Bearing*;
Wounds and Injuries
- From:Journal of Korean Foot and Ankle Society
2014;18(4):183-188
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The accepted general management principle after ankle arthrodesis is to maintain non-weight bearing for 6 to 8 weeks. The aim of this study was to report clinical outcome of patients allowed early weight bearing after arthroscopic arthrodesis. MATERIALS AND METHODS: We analyzed medical records and radiographs to determine fusion rate and complication risk of 22 sequential patients allowed to walk under short leg cast within 3 days after arthroscopic ankle arthrodesis using 2 screws from January 2008 to June 2012. The minimum follow-up period was 18 months, and the mean age of the patients was 67 years. RESULTS: The mean visual analog scale was decreased from 8.9 points preoperatively to 2.3 points after 12 months. Complete ankle fusion was achieved in 19 patients (86.4%) at 3-month follow-up. There were 2 cases of delayed union and one case of nonunion at 12-month follow-up. There was no other complication such as wound problem, persistent swelling of the ankle. CONCLUSION: Bony union may not be interfered even though patients were allowed to walk under cast within a few days after arthroscopic ankle arthrodesis.
