Arthrodesis of the ankle joint with LCP plate from the posterior surgical approach in a patient with renal osteodystrophy (hemodialisys)

• Published in: Vestnik hirurgii im. I.I. Grekova Vol. 180; no. 3; pp. 76 - 80
• Main Authors: Tsed, A. N., Iljushenko, K. G., Mushtin, N. E., Shmelev, A. V., Schepkina, E. A., Dulaev, A. K.
• Format: Journal Article
• Language: English; Russian
• Published: Pavlov First Saint Petersburg State Medical University 03-11-2021
• Subjects: ankle joint; ankle joint arthrodesis by posterior access; hemodialysis; multistaged intervention; orthopedics; renal replacement dystrophy
• ISSN: 0042-4625; 2686-7370
• DOI: 10.24884/0042-4625-2021-180-3-76-80

In cases when there is a need to visualize the posterior part of the tibia and talus, the subtalar joint and the possibility of performing osteosynthesis or arthrodesis, the most optimal is the posterior surgical approach. The article presents a demonstration of successful arthrodesis of the ankle joint using an LCP plate with angular stability of screws from the posterior surgical approach in a patient with renal osteodystrophy receiving renal replacement therapy. The result of treatment according to the AOFAS scale 4 months after the operation was 70 points, the severity of pain according to the VAS was 1/2 point. Clinical and radiological characteristics were assessed as satisfactory, taking into account the severity of the deformity and the severity of osteoporosis against the background of concomitant pathology.