In 20 patients with sequelae of the ankle injuries arthroscopic operations were performed. Different methods of distraction were used depending upon patients age, joint size, pattern and localization of intra-articular pathology, type and planned duration of surgery. In 18 patients follow up ranged from 1 to 5 years. In 16 patients, significant improvement was achieved, 2 patients had pain in joint under prolonged load. Different types of the ankle distraction were described. On the base of publications and authors experience the advantages and disadvantages, indications and contraindications of those distraction types were presented.
The authors showed and scientifically stipulated the possibility to improve the treatment results in patients with old ankle joint injuries by means of arthroscopic debridement of the articular surfaces in combination with inactivation of the extraarticular pain sauces.
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