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HINDFOOT ARTHRODESIS: EFFECT OF EARLY WEIGHT BEARING ON UNION RATE: ONE TO SIX YEAR FOLLOW-UP



Abstract

Introduction: Non-union occurs at a rate of 5–10 % following ankle and hindfoot arthrodesis, but the effect of early weight bearing on union rate in these patients has not been studied.

Materials and Method: We have looked at the union rate following ankle and hindfoot arthrodesis with an early weight bearing protocol in a single surgeon series between 2003 and 2008. Data was collected retrospectively on 108 patients with a total of 198 ankle and hindfoot joint arthrodesis.

Results: The non-union rate was 3.4% (9 in 154 joints) in the early weight bearing group and 18% (8 in 44 joints) in the late weight-bearing group. Union rate following revision surgery with bone graft was 100% in both groups.

Discussion: Early weight bearing following ankle and hind-foot arthrodesis has no adverse effect on the union rate.

Correspondence should be addressed to: Mr Andrew H. N. Robinson, Editorial Secretary, Department of Trauma and Orthopaedics, BOX 37, Addenbrooke’s Hospital, Cambridge CB2 2QQ, England.