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Current Issue - November 2018, Volume 12, Issue No. 3

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Ankle Arthrodesis using Ilizarov Ring Fixator: A Primary or Salvage Procedure? An Analysis of Twenty Cases


  1. Mendicino SS, Kreplick AL, Walters JL. Open ankle arthrodesis. Clin Podiatr Med Surg. 2017; 34(4): 489-502.
  2. Zhang K, Chen Y, Qiang M, Hao Y. Effects of five hindfoot arthrodeses on foot and ankle motion: Measurements in cadaver specimens. Sci Rep. 2016; 6: 35493.
  3. Goldberg AJ, Zaidi R, Thomson C, Dore CJ, Skene SS, Cro S, et al. Total ankle replacement versus arthrodesis (TARVA): protocol for a multicentre randomised controlled trial. BMJ Open. 2016; 6(9): e012716.
  4. Caixeta TB, JĂșnior MOC, de Castro RV, Martins JS, Costa EN, Albieri AD, et al. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation. Rev Bras Ortop. 2014; 49(1): 56-61.
  5. Castagnini F, Pellegrini C, Perazzo L, Vannini F, Buda R. Joint sparing treatments in early ankle osteoarthritis: current procedures and future perspectives. J Exp Orthop. 2016; 3: 3.
  6. Slater GL, Sayres SC, O'Malley MJ. Anterior ankle arthrodesis. World J Orthop. 2014; 5(1): 1-5.
  7. Yasui Y, Hannon CP, Seow D, Kennedy JG. Ankle arthrodesis: A systematic approach and review of the literature. World J Orthop. 2016; 7(11): 700-8.
  8. Grivas TB, Magnissalis EA. The use of twin-ring Ilizarov external fixator constructs: application and biomechanical proof-of principle with possible clinical indications. J Orthop Surg Res. 2011; 6: 41.
  9. Illgner U, Budny T, Frohne I, Osada N, Siewe J, Wetz HH. Clinical benefit and improvement of activity level after reconstruction surgery of Charcot feet using external fixation: 24-months results of 292 feet. BMC Musculoskelet Disord. 2014; 15(1): 392.
  10. Thordarson DB, Markolf K, Cracchiolo A. Stability of an ankle arthrodesis fixed by cancellous-bone screws compared with that fixed by an external fixator. A biomechanical study. J Bone Joint Surg Am. 1992; 74(7): 1050-5.
  11. Khanfour AA. Versatility of Ilizarov technique in difficult cases of ankle arthrodesis and review of literature. Foot Ankle Surg. 19(1): 42-7.
  12. Tellisi N, Fragomen AT, Ilizarov S, Rozbruch SR. Limb salvage reconstruction of the ankle with fusion and simultaneous tibial lengthening using the Ilizarov/Taylor spatial frame. HSS J. 2008; 4(1): 32-42.
  13. Dimitriou R, Jones E, McGonagle D, Giannoudis PV. Bone regeneration: current concepts and future directions. BMC Med. 2011; 9: 66.
  14. Gaasbeek RD, Nicolaas L, Rijnberg WJ, van Loon CJ, van Kampen A. Correction accuracy and collateral laxity in open versus closed wedge high tibial osteotomy. A one-year randomised controlled study. Int Orthop. 2010; 34(2): 201-7.
  15. Kim HM, Park IJ, Jeong C. Treatment of popliteal pterygium using an Ilizarov external fixator. Clin Orthop Surg. 2009; 1(4): 236-9.
  16. ElAlfy B, Ali AM, Fawzy SI. Ilizarov external fixator versus retrograde intramedullary nailing for ankle joint arthrodesis in diabetic charcot neuroarthropathy. J Foot Ankle Surg. 2017; 56(2): 309-13.
  17. Cooper PS. Application of external fixators for management of Charcot deformities of the foot and ankle. Foot Ankle Clin. 2002; 7(1): 207-54.
  18. Feibel RJ, Uhthoff HK. Primary Ilizarov ankle fusion for nonreconstructable tibial plafond fractures. Oper Orthop Traumatol. 2005; 17(4-5): 457-80.
  19. Doets HC, Brand R, Nelissen RG. Total ankle arthroplasty in inflammatory joint disease with use of two mobile-bearing designs. J Bone Joint Surg Am. 2006; 88(6): 1272-84.
  20. Ferkel RD, Hewitt M. Long-term results of arthroscopic ankle arthrodesis. Foot Ankle Int. 2005; 26(4): 275-80.
  21. Salem KH, Kinzl L, Schmelz A. Ankle arthrodesis using Ilizarov ring fixators: a review of 22 cases. Foot Ankle Int. 2006; 27(10): 764-70.
  22. El-Gafary KA, Mostafa KM, Al-Adly WY. The management of Charcot joint disease affecting the ankle and foot by arthrodesis controlled by an Ilizarov frame: early results. J Bone Joint Surg Br. 2009; 91(10): 1322-5.
  23. Fabrin J, Larsen K, Holstein PE. Arthrodesis with external fixation in the unstable or misaligned Charcot ankle in patients with diabetes mellitus. Int J Low Extrem Wounds. 2007; 6(2): 102-7.
  24. Johnson EE, Weltmer J, Lian GJ, Cracchiolo A 3rd. Ilizarov ankle arthrodesis. Clin Orthop Relat Res. 1992; (280): 160-9.
  25. Mazur JM, Schwartz E, Simon SR. Ankle arthrodesis. Long-term follow-up with gait analysis. J Bone Joint Surg Am. 1979; 61(7): 964-75.
  26. Fuchs S, Sandmann C, Skwara A, Chylarecki C. Quality of life 20 years after arthrodesis of the ankle. A study of adjacent joints. J Bone Joint Surg Br. 2003; 85(7): 994-8.
  27. Fragomen AT, Borst E, Schachter L, Lyman S, Rozbruch SR. Complex ankle arthrodesis using the Ilizarov method yields high rate of fusion. Clin Orthop Relat Res. 2012; 470(10): 2864-73.
  28. Kawoosa AA, Baba MA, Wani IH, Khursheed O, Dar FA, Bashir A. Ankle arthrodesis using the ilizarov technique in difficult situations - a Prospective study with mid-to long-term follow up. Ortop Traumatol Rehabil. 2015; 17(2): 147-53.
  29. Karapinar H, Sener M, Kazimoglu C, Akgun U. Arthrodesis of neuropathic ankle joint by Ilizarov fixator in diabetic patients. J Am Podiatr Med Assoc. 2009; 99(1): 42-8.
  30. Li J, Li B, Zhang Z, Wang S, Liu L. Ilizarov external fixation versus plate internal fixation in the treatment of end-stage ankle arthritis: decision analysis of clinical parameters. Sci Rep. 2017; 7(1): 16155.

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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