Abstract
We report a clinical case of a 27-year-old patient with posttraumatic painful ankle arthritis following sport injury treated with combined methods. The patient underwent ankle distraction arthroplasty with original Ilizarov apparatus and arthroscopic diagnosis and treatment of the ankle injury followed by the joint unloading and exercise therapy with frame on performed for 6 weeks at the Kurgan Ilizarov Center. The patient could improve pain relief and function at a long term following comprehensive treatment including surgical intervention, a course of physical procedures and exercise therapy. The combined technique can be used as an alternative treatment for patients with posttraumatic ankle arthritis.
Highlights
The incidence of ankle fractures is approximately 168–179 fractures per 100 000 people each year [1, 2]
Posttraumatic osteoarthritis (OA) of the ankle joint is reported to occur in 90 % of the patients [3, 4] with an injury to the cartilage of the talus observed in all cases [5]
Intra-articular ankle fractures repaired with metal osteosynthesis are normally associated with an injury to the cartilage, impingement syndrome with resultant deformity and arthritis [6]
Summary
The incidence of ankle fractures is approximately 168–179 fractures per 100 000 people each year [1, 2]. Fractures of the lateral malleolus are the most common type of ankle fracture These injuries generally occur in 55 % of the cases resulting from falls in 61 % and sports specific activities in 22 % [2]. Posttraumatic osteoarthritis (OA) of the ankle joint is reported to occur in 90 % of the patients [3, 4] with an injury to the cartilage of the talus observed in all cases [5]. Intra-articular ankle fractures repaired with metal osteosynthesis are normally associated with an injury to the cartilage, impingement syndrome with resultant deformity and arthritis [6]. Publications reporting failures with the technique [9, 18] and relative factors correlated with treatment failure with use of different approaches to ankle arthritis stimulates the search of new technical solutions. We present a clinical case with use of combined distractional external fixation and arthroscopy of the ankle
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