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Thus, biological procedures for early AOA were proposed in order to delay or to avoid end stage procedures.
This could open up the exciting prospect of indirect routes from N2 and CH4 in three stage procedures involving nitridation, carbidation and reduction separately.
Results: Fourteen of the 23 first stage procedures were associated with a total of 16 mucosal injuries representing an incidence of 60.9%.
Thus, joint sparing surgical procedures may be desirable, with the aim to delay the degenerative progression, postponing or even obviating the end stage procedures (Gomoll et al. 2012; Madry et al. 2012).
Mucosal injury at the 1st stage prompted a reduction in energy at the 2nd stage to 500 J in the midline and 250 J laterally; there were 4 injuries among 19 2nd stage procedures (21.1%).
In a recent work by Nguyen et al, the clinical and radiological results at mid-term follow-up were not so positive, with 45%% of the patients treated with definitive end stage procedures: differently from the previous studies, the Authors stated that ankle function tended to decline over the time after arthrodiastasis (Nguyen et al. 2015).
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Two-stage procedures might be appropriate if primary stability does not seem to be achievable.
Oncological outcomes and postoperative complications of TSH are favorable compared with one-stage procedures [1, 10].
Following Huang et al. (2014), we use two-stage procedures to address the potential endogeneity issue.
Such multi-stage procedures are formalized via the unified algorithmic scheme presented in Table 1.
Both one-stage and two-stage procedures have their advantages and disadvantages.
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