Röhm A, Mentzel M, Schöll H, Apic G, Gebhard F, Gülke J. [Midterm results following denervation of the ankle].
Unfallchirurg 2014;
118:615-20. [PMID:
24435100 DOI:
10.1007/s00113-013-2548-1]
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Abstract
BACKGROUND
Complications 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.
METHODS
Within a follow-up examination, we were able to evaluate the results of 45 patients an average of 102 months following ankle denervation.
RESULTS
A 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.
CONCLUSIONS
Ankle 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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