Surgical prevention of post-traumatic deforming osteoarthrosis of the ankle joint in patients with fractures of ankle

In consequence osteochondral injuries of the talus fractures of the ankles in 85%of cases develop post-traumatic osteoarthrosis of the ankle joint, which leads to disability(46%). It causes the urgency of improving the known and search for new methods of treatment of patients with post-traumatic deforming osteoarthrosis of the ankle joint. Treatment-diagnostic arthroscopy- method of choice in x-ray osteochondral non-verified lesions of thetalus after ankle fractures. In the Centre of traumatology and orthopedics them. N. Burdenko64 patients after osteosynthesis of ankle surgical treatment are no longer carried out, 88patients 6 months after ankle fractures was performed treatment -diagnostic arthroscopy,18 patients with 1 degree of defect of the cartilage of the talus, included lavage of the joint,debridment, 30 patients with 2-3 degrees of debridement performed in combination withtunnelization and curettage. Mosaic bone autoplasty was performed in 40 patients with 4degree of damage to the cartilage. To assess the state of the ankle joint was used the point- after osteosynthesis of ankle further surgical treatment was not conducted, poor assessment AOFAS scale. The survey was conducted through 1 year, 3 and 5 years. After 5 yearsin patients, which results in 31.8% more compared to those who had completed treatmentand diagnostic arthroscopy.