Issue №2-21, 2022

Review article

https://doi.org/10.38025/2078-1962-2022-21-2-115-126

Ankle Joint Arthrodesis: Realities and Prospects against the Background of New Technologies. Literature Review

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1 ORCIDRuoshi Wang 1 ORCIDIldar F. Akhtyamov 1 ORCIDBulat G. Ziatdinov 1 ORCIDGulnara M. Faizrakhmanova

1Kazan State Medical University, Kazan, Russian Federation


ABSTRACT

Arthrodesis is one of the methods for treating advanced stages of the ankle joint deforming arthrosis. A distinctive feature of this
operation is the variability of bone fragments fixation. There are various options for arthrodesis, but they are mainly divided into internal
and external fixation. Moreover, the increasing popularity of arthroscopic arthrodesis technology and ankle arthroplasty developments
have opened new possibilities for doctors but have also posed new challenges.
Aim. To evaluate treatment options for ankle arthrosis of various etiologies and provide recommendations for clinical improvement.
To give a prospective analysis of technology development. Clinical outcomes of arthroplasty, arthrodesis, and arthroscopy were not
significantly different. Patients with endoprosthesis had significantly more frequent reoperations.
Conclusion. In arthrodesis with the Ilizarov apparatus, there are more advantages due to variability and many modifications, and the
scope of internal fixation expands. There is disagreement over the optimal choice of internal fixation for arthrodesis. The choice is
determined by factors such as the patient’s condition and the doctor’s preferences. In uncomplicated ankle osteoarthritis, an antegrade
intramedullary pin is preferred over a retrograde pin. Ankle joint arthroscopy has technical advantages, and its use in severe joint
deformities has become a direction for future research. The results obtained can be applied in the motor rehabilitation of patients
after arthrodesis. Arthroscopy and arthrodesis are the most promising for postoperative motor rehabilitation of patients compared to
endoprosthetics.


KEYWORDS: arthrodesis, ankle joint, external fixation, internal fixation, arthroscopy, prosthetics, motor rehabilitation

For citation: Wang R., Akhtyamov I.F., Ziatdinov B.G., Faizrakhmanova G.M. Ankle Joint Arthrodesis: Realities and Prospects against the Background of New Technologies. Literature Review. Bulletin of Rehabilitation Medicine. 2022; 21(2): 115-126. https://doi.org/10.38025/2078-1962-2022-21-2-115-126



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