Several techniques for ankle arthrodesis have been described, Many of
them are not suitable in patients with severe rheumatoid arthritis bec
ause of multiple joint involvement, osteoporosis, and increased risk o
f infection caused by poor skin conditions, The arthroscopic technique
described in this article has been used in 7 patients with seropositi
ve rheumatoid arthritis and 1 patient with seronegative rheumatoid art
hritis (10 ankle joints; 2 patients surgically treated bilaterally), A
ll patients successfully obtained ankle joint arthrodesis, The mean ti
me to fusion was 10 weeks (range, 6-12 weeks). There was a 100% fusion
rate without any complication.