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The surgery involves the use of screws, plates, medical nails, and other hardware to achieve bone union. [1] Ankle fusion is considered to be the gold standard for treatment of end-stage ankle arthritis. [1] It trades joint mobility for relief from pain. Ankle fusion has also been used to resolve foot drop in certain circumstances.
Bone malrotation refers to the situation that results when a bone heals out of rotational alignment from another bone, or part of bone. It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, [1] especially in the femur and tibial bones, but can also occur genetically at birth.
Ankle replacement, or ankle arthroplasty, is a surgical procedure to replace the damaged articular surfaces of the human ankle joint with prosthetic components. This procedure is becoming the treatment of choice for patients requiring arthroplasty, replacing the conventional use of arthrodesis , i.e. fusion of the bones.
A portion of the leg removed; the ankle joint is then turned 180 degrees and is reattached to the thigh. They are held together by plates and screws until they have healed naturally. The surgery can take anywhere from 6 to 10 hours, with a day or two in intensive care. [7] The leg is kept in a cast for 6 to 12 weeks.
The risk of complications after surgery can be reduced by: maintaining blood glucose levels in the normal range and constant evaluation of surgical site infection. [ 2 ] [ 26 ] There is insufficient evidence to show that whether applying cyanoacrylate microbial sealants on the wound site before operation is effective in reducing surgical site ...
Unstable fractures require surgery, most often an open reduction and internal fixation (ORIF), which is usually performed with permanently implanted metal hardware that holds the bones in place while the natural healing process occurs. A cast or splint will be required to immobilize the ankle following surgery. [12]
Orthopedic surgeon making adjustments to a metal plate in a patient's ankle. An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing [1] and to reduce the possibility of nonunion. Most modern plates include bone screws to help the orthopedic plate stay in place.
Other potential complications include nerve damage or impaired bone healing, including malunion or nonunion. The severity of open fractures can vary. The severity of open fractures can vary. For diagnosing and classifying open fractures, Gustilo-Anderson open fracture classification is the most commonly used method. [ 2 ]