The use of external fixation in arthrodesis and salvage of the foot and ankle.

Abstract

External fixation arthrodesis provides a tremendous salvage alternative to previously unsalvageable complex ankle and hindfoot pathology. Options for bone transport and soft tissue correction add versatility to the procedure while reducing risk and increasing the potential for healing without complications. Judicious use of an experienced plastic surgeon is not only helpful, but recommended. Primary or revision complex arthrodesis surgery should only be performed by a surgeon experienced in dealing with these problems and possessing the capability to implement some or all of the principles detailed in this section.