• Der Unfallchirurg · Jul 2015

    Clinical Trial

    [Midterm results following denervation of the ankle.]

    • A Röhm, M Mentzel, H Schöll, G Apic, F Gebhard, and J Gülke.
    • Zentrum für Chirurgie, Klinik für Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland, andreas.roehm@uniklinik-ulm.de.
    • Unfallchirurg. 2015 Jul 1; 118 (7): 615-20.

    BackgroundComplications related to arthrodesis of the ankle or total ankle replacement require a critical assessment of the indication. Using denervation of the ankle, we have the possibility to delay the above-named surgical treatment for a number of years. The aim of this follow-up study was to review the results of ankle denervation after several years.MethodsWithin a follow-up examination, we were able to evaluate the results of 45 patients an average of 102 months following ankle denervation.ResultsA total of 82.2% of patients indicated an improvement of pain for an average of 60.9 months; 71.1% of patients reported that the operation was worthwhile. The AOFAS score improved from an average 37.9 (range 26-68) preoperatively to 55.6 (range 24-84) at follow-up.ConclusionsAnkle denervation can achieve good ankle pain reduction in the treatment of ankle arthrosis. Denervation should be considered a long-term treatment concept.

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