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Jörn Dohle, Christina Stukenborg-Colsman, Christian Plaaß

    Zeitschrift Fur Orthopadie Und Unfallchirurgie
    |March 18, 2021
    PubMed
    Summary

    Arthrosis of the upper ankle, often resulting from fractures, leaves limited treatment options. Advanced osteoarthritis patients face a choice between ankle arthrodesis and prosthesis, with prosthesis offering functionally sufficient mobility.

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    Area of Science:

    • Orthopedic surgery
    • Sports medicine
    • Reconstructive surgery

    Background:

    • Ankle arthrosis commonly follows ankle fractures.
    • Conservative treatments for advanced ankle osteoarthritis are often insufficient.

    Purpose of the Study:

    • To present the techniques and follow-up for ankle arthrodesis and prosthesis.
    • To compare functional outcomes of ankle arthrodesis versus prosthesis.

    Main Methods:

    • Review of surgical techniques for ankle arthrodesis.
    • Review of surgical techniques for ankle endoprosthesis implantation.
    • Analysis of follow-up treatment protocols for both procedures.

    Main Results:

    • Ankle arthrodesis involves joint fusion, resulting in loss of motion.
    • Ankle endoprosthesis offers improved, though not physiological, mobility post-surgery.
    • Both procedures require specific post-operative management.

    Conclusions:

    • For advanced ankle osteoarthritis, arthrodesis and prosthesis are primary surgical options.
    • Endoprosthetic replacement provides functionally adequate mobility after conservative treatment failure.
    • Surgical technique and follow-up are critical for successful outcomes in ankle reconstruction.

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