ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ THOÁI HÓA KHỚP CỔ CHÂN BẰNG PHẪU THUẬT HÀN KHỚP CỔ CHÂN DƯỚI SỰ HỖ TRỢ CỦA NỘI SOI

Abstract

Background: Osteoarthritis of the ankle is a condition in which the cartilage of the joints was corrosion over time, causing the bone to rub against others when moving, with an inflammatory response that causes pain, stiffness, limited range of motion and other symptoms for patients. This condition not only affects the cartilage but can also damage the bones, ligaments, and tendons of the joints. Over the past two decades, arthroscopic ankle arthrodesis has become a viable alternative to open surgery and has shown encouraging results. Some advantages of this procedure are reduced posoperative pain, reduced blood loss and postoperative hospitalization significantly shorter. However, there are no specific studies in Can Tho City to evaluate the results of this treatment method. Objective: This study was to survey outcomes evaluation of treatment ankle osteoarthritis by arthroscopic ankle arthrodesis. Materials and methods: The study was conducted for all patients diagnosed with ankle osteoarthritis and indicated for arthroscopic ankle arthrodesis at Can Tho Central General Hospital in 2019-2022. We recorded the general characteristics as well as clinical symptoms, radiographic findings, and treatment outcomes. Result: Data of 11 patients includes 6 men and 5 women, with a mean age of 59.09 ± 17,53 years. The average operation time was 129.09 ± 38.91 minutes. VAS score improved from the preoperative value of 6.64 ± 1.03 to 1.18 ± 0.98 at 6 months after the operation. AOFAS score improved from the preoperative 56.55 ± 12.63 points to 82.55 ± 7.59 at 6 months after surgery. The postoperative complication rate was 18,2% (2 of 11 patients), and the satisfaction level of patients was 90.91% very satisfied and satisfied. Conclusion: arthroscopic ankle arthrodesis showed that the hospitalization, the operation time was shortened and there were fewer postoperative complications compared to open surgery. Results in all patients were significantly reduced pain and improved the AOFAS ankle hindfoot score, most patients were satisfied after the operation.