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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 2, 175-178.
doi: 10.1302/0301-620X.87B2.15455  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Triple arthrodesis: is bone grafting necessary?

THE RESULTS IN 100 CONSECUTIVE CASES

P. F. Rosenfeld, FRCS(Orth), Orthopaedic Fellow; S. A. Budgen, FRCS(Orth), Consultant Orthopaedic Surgeon; and T. S. Saxby, FRACS(Orth), Consultant Orthopaedic Surgeon

The Brisbane Foot and Ankle Centre, 259 Wickham Terrace, Brisbane, Queensland 4000, Australia.

Correspondence should be sent to Mr T. S. Saxby; e-mail: forefoot{at}bigpond.com

Our aim was to evaluate the results of triple arthrodesis, performed without the use of supplementary bone graft. We carried out a retrospective review of 100 consecutive triple arthrodeses. All the operations had been performed by the senior author (TSS) using a standard technique. Only local bone graft from the excised joint surfaces had been used, thereby avoiding complications at the donor site.

The mean age of the patients at surgery was 58 years (18 to 84). The mean time to union was 5.1 months (3 to 17). There were 75 good, 20 fair and five poor results. There were four cases of nonunion.

Our study has shown that comparable rates of union are achieved without the need for supplementary bone graft from the iliac crest or other donor site.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General