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Foot Ankle Surg. 2015 Sep;21(3):160-3. doi: 10.1016/j.fas.2014.11.001. Epub 2014 Nov 24.

Patient satisfaction and function after bilateral ankle arthrodeses.

Author information

1
Foot & Ankle Unit, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, UK. Electronic address: drphilipvaughan@yahoo.com.
2
Foot & Ankle Unit, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, UK.

Abstract

BACKGROUND:

The optimum way to manage patients with bilateral ankle arthritis (AA) is unclear.

METHODS:

This review was performed to report the midterm satisfaction and functional outcome of a series of patients who have undergone bilateral staged ankle arthrodesis.

RESULTS:

Eight patients, median age 68.5 yrs (range 59-80) were followed-up for a median of 58.5 months (range 24-100). All fusions united in a median time of 12.8 weeks (range 10-19) Their median AOFAS hindfoot score was 79.5 (range 71-90). Six patients (75%) were very satisfied, one was satisfied, and the other neither satisfied nor dissatisfied. Two patients developed symptomatic subtalar arthritis requiring subtalar fusion.

CONCLUSIONS:

This is the first study to report the outcome of bilateral AA independent to that of unilateral AA. Bilateral AA appears to give patients a good functional result with high patient reported satisfaction into the medium term.

KEYWORDS:

Arthritis; Bone; Internal fixation; Outcome; Talus; Tibia

PMID:
26235853
DOI:
10.1016/j.fas.2014.11.001
[Indexed for MEDLINE]

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