This article presents a clinical case demonstrating the correction treatment of the lower extremities in a patient with Issacs syndrome, as well as the results of ankle surgery and successful post-surgery rehabilitation. The high efficiency of surgery as a treatment method was confirmed.
Results of 45 ankle joint replacements performed during the period from 1998 to 2008 have been analyzed. Cementless original implants were applied in 6 (13.3%), «Link S.T.A.R.» implants - in 26 (57.8%) and «DePuy Mobility TM» implants - in 13 (28.9%) cases. Mean follow-up made up 3 years (from several months to 10 years). For the evaluation of long-term outcomes the data from patients questionnaires (prior to, 6 months after operation and at the time of last examination) and X-ray results were used. Early complications, i.e. fracture of lateral malleolus, was noted in 4 patients. Long-term complications, i.e. dislocation of tibial component, were observed in 2 patients. In 2 patients the development of infectious complications required implant removal followed by arthrodesis. In 91% of cases the results were assessed as satisfactory and good by Kitaoka scale.
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