Arthroscopic ankle fusion How do these points compare to the standard "Open" fusion technique?
1)The most important difference is the chance of a successful ankle fusion. With the arthroscopic technique there is between 90-97% success. At best with the open option one can expect a 80-90% primary fusion rate (this means the chance of a successful fusion occuring after the first operation). 2)Post operatively it is routine to avoid walking for 6 weeks following a normal fusion. 3)Post operatively it is normal to be in a non-removable plaster cast for 12 weeks. 4)A post operative hospital stay of 3-4 days is not unusual after an open fusion. The limiting factor is usually post operative pain. For whom is the arthroscopic option most suitable? - Younger patients, sub 50, with a joint not salvageable by other means or who wish a more predictable course or higher chance of success than offered by Ilizarov joint distraction.
- Heavy manual occupations (industrial workers, farmers, builders etc )
- Patients with poor soft tissues(skin grafts, muscle flaps ect)
Is an arthroscopic ankle fusion possible if the ankle is deformed?
Yes and often yes.
Yes with ease if the ankle deformity is correctable passively.
Often yes if the ankle deformity is fixed, but not always. Depending on the extent ogf the deformity a patient may require a standard 'open' fusion.
If there is an Achilles tendon contracture this may need to be dealt with by lengthening the Achilles tendon. For more information on Achilles tendonitis and the Achilles tendon please select the phrase and the link will take you straight to the relevant section within the website. | 
