Between 1955 and 1979, a modification of the compression arthrodesis of
the ankle was performed in twenty-eight patients at The Campbell Clinic.
The ages of the patients ranged from twenty-one to seventy-seven years,
with an average of 48.4 years. The modification narrows both the medial and
lateral sides of the ankle, resulting in a much better cosmetic appearance
as the fused ankle is essentially the same width as the normal ankle. The
distal end of the tibia and the talus are easily approached through
anteromedial and anterolateral incisions, and all articular cartilage can
be removed without difficulty. A solid arthrodesis was achieved in 92.8 per
cent of the ankles, a higher percentage than in most reported series. Not
only is the final appearance of the ankle more pleasing to the patient, but
the modification also eliminates the complication of irritation and
abrasion of the soft tissue beneath the malleoli by the top of the
shoe.