Authors
Wang R., Akhtyamov I.F., Ziatdinov B.G., Faizrakhmanova G.M.
Kazan State Medical University, Kazan
Abstract
Background: the clinical manifestations of the late stage of ankle osteoarthritis are mainly pain and limited joint mobility, which seriously affects the patient’s quality of life.
Aims: comprehensive comparison of the clinical efficacy of the arthroscopic technique and traditional open ankle arthrodesis in the treatment of advanced ankle osteoarthritis.
Materials and methods: the articles were searched in the Chinese national knowledge Infrastructure, in four English databases (PubMed, Embase, Medline, and Cochrane libraries) and the Russian Scientific Electronic Library «CyberLeninka» and «elibrary».
Results: all 13 articles were cohort studies. A total of 822 cases of ankle arthrodesis were performed, of which 435 cases were operated using the arthroscopic technique, and in 387 cases — traditional open surgery. In the following terms, arthroscopic techniques have shown significant benefits, including: postoperative fusion rate (P = 0.007), fusion time (P <0.00001), overall complication rate (P<0.00001), intraoperative blood loss (P<0.00001), length of stay in hospital (P<0.00001), VAS scale (p = 0.009), postoperative treatment effect (p = 0.005), AOS scale (p = 0.003), PCS subscale (p = 0.008).
Conclusions: arthrodesis by the arthroscopic technique is better than traditional open ankle arthrodesis in the treatment of advanced ankle osteoarthritis.
Keywords: аnkle, arthrodesis, arthroscopy, case control study.
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