Abstract:Abstract: Objective To evaluate the efficacy of arthroscopic ankle arthrodesis with bone graft for end-stage ankle arthritis. Methods From March 2010 to October 2013, 12 patients with end-stage ankle arthritis underwent arthroscopic ankle arthrodesis with bone graft in our hospital. There were 9 males and 3 females, aged from 43 to 65 years (average, 49.5 years), and involved with 8 cases of traumatic arthritis and 3 cases of osteoarthritis and 1 case of rheumatoid arthritis. During operation, hyperplasticsynovial tissue and articular cartilage in the ankles were removed completely, then the antograft or allograft bone was implanted into the ankle's clearance, and then the ankle was fixed at 0°flexion, 5°eversion and 5°external rotation with two pieces of cannulate screws. Visual analogue scale (VAS) and American orthopaedic foot and ankle society (AOFAS) scoring system were utilized to evaluate the clinical efficacy. Results All patients were follow-up for 12 to 26 months (average, 16.5 months). All the affected ankles had no infection, and nerval and vascular injury, and internal fixation loosening complicatedly, and achieved osseous fusion in 10 to 18 weeks postoperatively. The VAS score improved from preoperative (7.5 ± 1.1) to (1.1 ± 0.5) one year postoperatively, and the AOFAS score improved from preoperative (45.3 ± 6.7) to (82.4 ± 4.8) one year postoperatively. Conclusion Arthroscopic ankle arthrodesis with bone graft for end-stage ankle arthritis has less surgical trauma, fewer complications, high osseous fusion rate, and the function recovery of foot and ankle is good postoperatively.
