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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 5, 615-619.
doi: 10.1302/0301-620X.89B5.18109  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Arthrodesis of the ankle in the presence of a large deformity in the coronal plane

R. Smith, MBChB, FRCS(Tr&Orth), Consultant Orthopaedic Surgeon1; and P. L. R. Wood, MBBS, FRCS, Consultant Orthopaedic Surgeon1

1 Department of Orthopaedic Surgery Wrightington Hospital, Hall Lane, Appley Bridge, Lancashire, Wigan WN6 9EP, UK.

Correspondence should be sent to Mr P. L. R. Wood; e-mail: peter.wood{at}wwl.nhs.uk

A consecutive series of 23 patients (25 ankles) with osteoarthritis of the ankle and severe varus or valgus deformity were treated by open arthrodesis using compression screws. Primary union was achieved in 24 ankles one required further surgery to obtain a solid fusion. The high level of satisfaction in this group of patients reinforces the view that open arthrodesis, as opposed to ankle replacement or arthroscopic arthrodesis, continues to be the treatment of choice when there is severe varus or valgus deformity associated with the arthritis.






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