Arthrodesis of the ankle joint is still an excellent alternative to joint replacement for treatment of advanced arthritis. The long-term results are also excellent even over time periods of more than 24 years. According to the Swedish registry the revision rate is much higher in younger patients compared to older patients and particularly in comparison to arthrodesis. The different extents of osteolysis and a low forgotten joint score are still long-term unsolved problems in prosthetic treatment of the ankle. In contrast, these important factors do not play any role in arthrodesis. The comfort of arthroscopic arthrodesis has become much higher for the patients and can even be used under conditions of reduced perfusion.
机构:
Des Moines Univ, Coll Podiatr Med & Surg, Des Moines, IA USA
Capital Orthopaed & Sports Med PC, Foot & Ankle Surg, Clive, IA 50325 USADes Moines Univ, Coll Podiatr Med & Surg, Des Moines, IA USA