Abstract
Aims: The arthrodesis is a method of selection at a purulent destruction of a talocrural joint. By loss of motions the pain and the deformation are eliminated, capacity of a load of an extremities is restored. Methods: We allocate by experience of treatment 73 ill with a chronic infection of an ankle joint, which one executes in period with 1976 for 2002 an arthrodesis of a talocrural joint with applying of apparatus of external þxation. The external þxator consists of 2 rings on the anticnemion and 2 semirings on the foot. On the foot a pin was passed through talus, which provided maximum rigid of þxation and created conditions for early mobilization of a subtalar joint. At destruction of talus or distal metaphysis of a tibial is executed the autospongioid osteal plasty for 15 ill, which one has allowed to keep an axis of an extremity without shortening one. Results: The follow-up for 65 ill are studied in terms from 1 till 25 years. The osteal ankylosis is reached in 63 cases; the resistant remission of infected process is reached in 59 cases. Conclusions: Thus an arthrodesis of a ankle joint by the apparatus of external þxation enables to avoid the many-stage treatment, to reach an ankylosis in minimum terms and to restore function of an extremity.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
