Abstract
From 1977 to 1992, twenty three arthrodesis of the ankle in twenty one patients were performed by means of a transfibular approach in National Misasa Onsen Hospital.
The subjects were twelve patients with osteoarthritis, seven with rheumatoid arthritis, one avascular necrosis of talus, and the other suppurative arthritis.
Union was obtained in twenty of twenty three ankles (87%). The clinical results of nineteen ankles except three ankles of nonunion and one of suppurative arthritis with paraplegia were evaluated by Takebe's method.
Exellent result was gained in six ankles, good in six ankles, fair in six, and poor in one. The patients who gained the good result in activities of daily living had been arthrodesed from five to thirteen degree of equinus. Subtalar bony change was radiographically demonstrated in almost cases but not correlated with the pain.
