How is ankle surgery performed? What are the risks?

The risk of this surgery is small, by doing surgery to open an incision, remove the broken joint capsule, use hemostats to find the subcutaneous tissue, and then puncture with a needle, and then observe, remove the necrotic part, and then suture it, it is easy to cause infection during the operation, and a slight accident will affect the nerves, affect the white blood cells, and suppuration, these are all risks.

In such a case, it can be carried out by amputation surgery, or it can be done by orthopedics. There is a high risk that this will lead to the failure of the surgery and the inability to stand.

At this time, it is necessary to do a CT first to understand the cause of the lesion before it can be carried out**, which is prone to paralysis, and will also lead to the rupture of blood vessels, which will hurt the tendon.

Fibula fixation.

A straight incision is made at the lower end of the fibula with a distal forward turn. The fibula was amputated at 6 8 cm above the lateral malleolus, the anterior tibia and fibula of the distal bone were incised, and the lateral and posterior soft tissues were preserved, and the bone was turned backward to chisel the inner surface into a rough surface, and after the lesion was removed and the residual cartilage surface was removed, the lower end of the tibia and the outside of the talus were chiseled into a rough surface. The posterior fibula was reduced and fixed to the lower end of the tibia and the outside of the talus with 3 screws.

During fixation, it should be noted that the talus should be in the neutral position of valgus and valgus, and the calf plaster should be fixed with a plaster pad after surgery, and the walking calf plaster boot should be used for 3 months after the suture is removed.

Tibial slice sliding bone grafting method.

The anterior transmalleolar route exposes the ankle joint, flexing the foot as much as possible to reveal the articular surface of the entire lower tibia and talar body. After the lesion is removed, the residual cartilage surface is excised, and a 5 6 cm long and wide bone cortex is chiseled at the lower end of the tibia. A wide and deep bone groove is chiseled out at the corresponding position on the back of the talus.

The tibial piece is slid down into the bone groove of the talus, and the lower end of the tibia is tightly aligned with the talus, and the tibial piece is fixed internally with 2 screws. The postoperative management is the same as above.

Pressurized fusion method.

Surgery is performed by the lateral or anterior approach. The lesion was removed, the residual cartilage surface was removed, and the bone rough surface was closed, and the joint compressor was placed at the lower end of the tibia and the calcaneus puncture needle for compression fusion.

Among the above three fusion operations, the compression fusion method has good effect, simple operation, short fusion time and high osseous fusion rate.

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