ANKLE ARTHRODESIS: INDICATION AND RESULTS ABOUT 20 CASES IN THE ORTHOPAEDIC AND TRAUMA SURGERY DEPARTMENT OF THE DONKA NATIONAL HOSPITAL CHU OF CONAKRY GUINEA

Abstract

The objective of our work is to assess the medium-term results of ankle arthrodesis through the study of a series of nine patients. Patients and methods: This was a prospective study spanned between January 2015 and December 31, 2019, involving twenty cases of ankle arthrodesis performed in the trauma orthopedics department. The inclusion criteria were a traumatic etiology, osteoarthritis due to neglected trauma or sequelae, clinical and radiological evaluation. The indication for arthrodesis was made in the presence of pain associated or not with deformity, lameness and complete destruction of the tibialtalar joint. Results: These were 14 men and 6 women with a sex ratio of 2.33. An average age of 43 years with extremes of 19 years and 67 years on the date of arthrodesis. The mean follow-up was 24.80 ± 20.57 months with extremes of 5 and 67 months. Union was obtained within a mean time of 19.75 ± 7.21 weeks with the extremes of 18 and 28 weeks. We evaluated 18 patients according to the AOFAS score(American Orthopedic Foot and Ankle Score). Our results were good in 85.71% of cases. One case of pseudarthrodesis was observed. Conclusion: The study of our series has enabled us to confirm the interest of arthrodesis in the treatment of posttraumatic ankle arthritis by ensuring both indolence and stability