Comparative experience of surgical treatment of deforming arthrosis of the ankle joint

Abstract

Deforming arthrosis of the ankle joint (Crusarthrosis) (Fig. 1) is characterized by severe pain, impaired movement in the joint, the need to use additional support (walking stick, crutches), which entails a deterioration in the quality of life, disability and impaired biomechanics in adjacent joints. At the moment, there are a large number of methods for the surgical treatment of deforming arthrosis of the ankle joint, such as: arthrodesis, endoprosthetics, arthroplasty. Each of the techniques has advantages and disadvantages of both medical and financial nature. This article presents a comparative experience in the surgical treatment of patients with stage III-IV ankle joint arthritis (according to the classification of J.H. Kellgren and J.S. Lawrence) using arthrodesis. In our clinic, we analyzed the experience of arthrodesis of the ankle joint from 2016 to 2018. A total of 25 operations were performed: 16 people (64%) were operated on by the arthroscopic method with subsequent fixation with screws, 7 people (28%) - by the open method with subsequent installation of the external fixation device, 2 people (8%) - by the open method with pin installation.