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Original Articles
- The Results of Blair Ankle Fusion in Trauma and Disease Around the Ankle
- Duke Whan Chung, Kang Il Kim, Byung Joo Park
- J Korean Soc Fract 1998;11(2):362-370. Published online April 30, 1998
- DOI: https://doi.org/10.12671/jksf.1998.11.2.362
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Abstract
PDF - Blair introduced talotibial fusion via tibial sliding graft, rectangular bone block donated from distal tibia, to the neck of talus to settle the problems, shortening of lower extremity and deformity of foot, which had been produced by talectomy or subtalar fusion in the treatment of the comminuted fracture-dislocation of the body of the talus. The purpose of this study was to report the excellent results of Blair ankle fusion in treatments of various diseases of ankle as well as fracture and avascular necrosis of talus, and to announce the effect of Blair ankle fusion. The ten cases were reviewed, which had undergone Blair ankle arthrodesis, from January 1989 to December 1996 in Kyung Hee Medical Center. There were 4 men and 6 women. Mean age was 4.7(18-75) years old. Preoperative diagnosis were 2 posttraumatic osteoarthritis, 2 avascular necrosis of talus, 2 degenerative osteoarthritis, 1 chronic osteomyelitis of calcaneus with myelopathy, 1 Charcot joint due to diabetes mellitus, 1 secondary osteoarthritis due to infection sequelae and 1 old crushing injury of ankle and foot. We used Boston children's Hospital ankle-scoring system as clinical assessment criteria and tibiopedal motion as functional assessment in gait. Time to union was average 14.6(8-23) weeks. Postoperative complications were pin tract infection in two cases and deep infection(chronic osteomyelitis) in one case. Pain was observed in three cases. Delayed union, nonunion or pseudoarthrosis were not observed. The average leg length discrepancy was 0.64cm(0-1.27). On the clinical criteria for Boston children's Hospital ankle-scoring system, we observed seven excellent and three good cases. The results in tibiopedal motion using cineroentgenography were 6 good and 4 fair cases. By using Blair fusion, we expect early bony union, near normal shape of foot, no shortening, and normal walking by preserving the enough range of tibiopedal motion.
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- Blair Tibiotalar Arhrodesis of the Ankle
- Young Lim, Soo He Choi, Brung Jik Kim
- J Korean Soc Fract 1994;7(1):187-191. Published online May 31, 1994
- DOI: https://doi.org/10.12671/jksf.1994.7.1.187
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Abstract
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- Blar tibiotalar arthrodesls is a procedure that fuses the distal tibia to the talar neck in situation which the body of the talus has been lost or is osteonecrotlc. This method allows nearly normal appearance of the foot with little shortening of the extremity and permits some flexion-extension motion of the foot on the leg. From May, 1988 to December, 1992, 5 patients 6 cases of Blair tiblotalar arthrodesis were carried out at Department of Orthopedic Surgery of Seoul Paik Hospital. The results obtained were as follows; 1. Among 6 cases of arthrodesis, Hawkins type III were 3 cases, open, comminuted Hawkins type III were 2 cases, open, comminuted Hawkins type II was 1 case. 2. The average duration of immobilization after ankle arthrodesls was 11.3 weeks. 3. Bony union was obtained in all cases and the average union period was 15 weeks. 4. Clinical results were evaluated according to Lances criteria with average follow up period of 24.2 months. Excellent results were 2 cases, Good results were 4 cases.
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