| Purpose: Explore the clinical application of ankle arthrodesis traumatic arthritistreatment efficacy and methodsMethods:2011October to2012December, fusion of ankle joint treatment of15cases of ankle traumatic ankle arthritis patients, male8cases, female7cases; aged25-50years, mean38.9years;9cases of right foot, left foot in6cases. Preoperative diagnosiswere ankle traumatic arthritis. Operation with ankle joint lateral approach, along the loweredge of fibula after arc incision subperiosteal dissection of fibula, cut down the ankle fullyrevealed, outer surface of distal tibia bone graft dissection preparation, debridement,removal of the joint capsule, the foot ankle joint dislocation, chiseling tibiotalar joint,distance, fibula corresponds to the cartilage surface, in the shallow bone groovescorresponding to the lower part of a chisel and ribs, keep the ankle joint in the functionalposition reset fibula, embedded bone groove, with2～3screws and fibula in the tibia andtalus, joint clearance and bone gap with cancellous bone fill. Results: after operation,15patients were followed up, follow up time was6months to20months, average12months.Postoperative patients have no complications such as infection, only2patients had mildpain overstrain of ankle joint. AOFAS score from29.5points preoperatively to80.1pointspostoperatively, the pain disappeared or relieved obviously, can significantly improve thequality of life, the curative effect is satisfied.Conclusion: in the ankle joint replacement is mature today, ankle traumatic arthritispatients with ankle joint arthrodesis treatment of trauma, operation method is simple, canachieve more satisfactory curative effect. |
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