Arthroscopic vs. Open Ankle Arthrodesis: A 5-year Follow up

Description

In this presentation, Monther Abuhantash, a PGY1 orthopedic surgery resident at the University of Manitoba, discusses his research project comparing arthroscopic and open ankle arthrodesis in patients with end-stage ankle arthritis. He begins by expressing gratitude to his co-authors and mentors. The presentation highlights the debilitating effects of end-stage ankle arthritis and the distinctions between the traditional open technique and the newer arthroscopic approach, emphasizing the potential benefits of the latter including shorter recovery times and reduced morbidity.



Monther outlines the methodology of a retrospective cohort study that included various patient demographics, surgical approaches, pre- and post-operative outcome measures, and complications. He presents findings that indicate both surgical methods improve patient outcomes but that the arthroscopic technique has shown slightly better results at one year post-surgery, despite higher revision rates associated with it.



The discussion also includes statistical analyses performed, showcasing both groups had similar demographic profiles, but the open surgery group exhibited more complex cases. Key takeaways highlight the higher complication revisions for arthroscopy, particularly related to fusion survivorship. In conclusion, Monther invites questions, indicating a willingness to engage further on this important topic in orthopedic surgery.

DOI: 10.1302/3114-220862

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