Tactics of the treatment of the purulent arthritis of the ankle joint

Abstract

Purpose of the study. To develop a systematic approach to the treatment of various clinical forms of septic complications after open fractures dislocations in the ankle joint. Materials and methods. 36 patients were treated. Of these, 28 (78, 3%) are men and 8 (21,7%) are women of working age. The basis of surgical treatment was radical sequestrectomy – resection of articular joint surfaces and through bone osteosynthesis according to Ilizarov. In the postoperative period, patients received antibacterial, vascular and detoxification therapy. During dressings, the wound was flushed with antiseptics through drainage tubes. In the presence of significant necrosis of soft tissues, VAKtherapy, laser therapy, prolonged intraosseous blockade were prescribed. Results and discussion. Longterm results were studied in 31 (83,7%) patients. Bone ankylosis occurred in 29 (78,3%) patients, 3 (8,1%) patients in connection with the progression of the inflammatory process in the talus bone performed the second operation astragalectomy. Conclusion. When the inflammation of the articular surface is affected, resection of the joint with subsequent compression of the arthrodesis is necessary. The Ilizarov apparatus provides a stable fixation at the site of resection.

Keywords

• septic arthritis
• sepsis
• ankylosis
• antibiotic therapy