Ankle fixation (arthrodesis) has always been considered the gold standard in the treatment of advanced ankle osteoarthritis until very recently. Today, ankle arthrodesis is about to lose the first place to ankle prosthesis. In this, the detection of moderate to severe calcification in the foot joints in the 20-year follow-up of ankle arthrodesis, the long recovery period of the arthrodesis and the fact that the mid-long term results of the prostheses designed with persistent studies are at least as good as the results of arthrodesis.
In a study conducted in Canada, it was found that patients with end-stage ankle osteoarthritis show physical and mental deprivation at least as much as patients with end-stage hip joint arthritis. Orthopedic specialists do not apply arthrodesis today unless they are obliged to hip and knee joints, and in my opinion, they should show the necessary importance and respect to the ankle joint, and even the applications should have at least an average knowledge of ankle prostheses.