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University Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany
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problem in orthopedic clinics ( 1 ). Symptomatic hallux valgus can be treated non-operatively or with soft-tissue procedures, osteotomies or arthrodesis, or a combination of these ( 5 ). Arthrodesis of the first MTPJ is commonly chosen for moderate
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patients with more advanced arthritis, operative management has centred on arthrodesis of the first MTP joint. Multiple joint-sparing procedures such as joint arthroplasty or resurfacing have been described with inconsistent results. Pathophysiology
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the deformity but also to quantify the degree of correction that is required and to decide whether to perform an osteotomy or an arthrodesis. The apex of the deformity can vary. Usually the deformity is located in the mid-foot at the transverse tarsal
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symptomatic ankle osteoarthritis is nine times less frequent than that of the knee and the hip. Ankle osteoarthrosis is associated with pain and gait alteration. 7 , 8 Conservative treatment includes medication and orthotics. Ankle arthrodesis and total
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and ‘minimal’ internal fixation (a, b), complicated by joint destruction due to Charcot neuroarthropathy, without signs of infection. It was salvaged with ankle arthrodesis using a rigid fixation construct (plate with locking screws, augmented by
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intervention are: symptomatic degenerative joint arthrodesis to relieve pain, restoration of the plantar vault and the medial longitudinal arch of the Meary–Tomeno axis. Fig. 1 Müller–Weiss disease. A wide variety of surgical procedures have been
Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA
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Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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Department of Surgery, Universidad de Sevilla, Sevilla, Spain
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OA, and approximately 24 times more total knee replacements being performed than arthrodesis and arthroplasty of the ankle joint combined ( 3 , 4 ). While traditionally the clinical impact and functional limitation of early ankle OA on patients have
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component arthroplasty, 15.2% arthrodesis and 3.6% required amputation. Sub-classification of the studies into inventor and non-inventor groups yielded revision rates of 6.6% and 12.2% respectively. Of the 14 studies included, 12 were level IV or level V
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acknowledged benchmark in the management of bone defects. In foot and ankle surgery, these principles of fracture management have been extended to the techniques used in osteotomy and arthrodesis procedures, where autogenic bone grafts have achieved a similar
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, therefore, the surgical options remain controversial. 3 The traditional options for operative management of end-stage arthritis include excision arthroplasty, implant arthroplasty and arthrodesis. Excision arthroplasty has gradually become less popular
