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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Introduction Ankle osteoarthritis (OA) is a chronic disease affecting approximately 1% of the world population, with an estimated incidence of 30 cases per 100 000 inhabitants, and corresponds to between 2 and 4% of all patients with general
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re-alignment supramalleolar osteotomy for asymmetrical varus ankle osteoarthritis (OA) Supramalleolar osteotomy Osteotomy distal to syndesmosis (mortise plasty) Osteotomy of tibial plafond (plafondoplasty) Indications
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more severe case. Ankle osteoarthrosis Ankle osteoarthrosis most commonly occurs as a consequence of trauma. 7 The prevalence of ankle osteoarthritis is difficult to determine, nevertheless it is known that the prevalence of
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Ankle sprains are mainly benign lesions, but if not well addressed can evolve into permanent disability. A non-treated lateral, syndesmotic or medial ankle instability can evolve into ankle osteoarthritis. For this reason, diagnosis and treatment of these entities is of extreme importance.
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In general, acute instabilities undergo conservative treatment, while chronic instabilities are better addressed with surgical treatment. It is important to identify which acute instabilities are better treated with early surgical treatment.
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Syndesmosis injuries are frequently overlooked and represent a cause for persistent pain in ankle sprains. Unstable syndesmotic lesions are always managed by surgery.
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Non-treated deltoid ligament ruptures can evolve into a progressive valgus deformity of the hindfoot, due to its links with the spring ligament complex. This concept would give new importance to the diagnosis and treatment of acute medial ligament lesions.
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Multi-ligament lesions are usually unstable and are better treated with early surgery. A high suspicion rate is required, especially for combined syndesmotic and medial lesions or lateral and medial lesions.
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Ankle arthroscopy is a powerful tool for both diagnostic and treatment purposes. It is becoming mandatory in the management of ankle instabilities and multiple arthroscopic lateral/syndesmotic/medial repair techniques are emerging.
Cite this article: EFORT Open Rev 2021;6:420-431. DOI: 10.1302/2058-5241.6.210017
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-traumatic ankle joint osteoarthritis. 57 Surprisingly, Wang et al 63 reported higher compensation potential in patients suffering from varus ankle osteoarthritis. Range of movement in inversion is higher compared with eversion and consequently subtalar
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Stufkens et al. (46) Osteochondral lesions Discussion Our research focused on three aspects of post-traumatic radiographic ankle osteoarthritis, namely incidence, time course and prognostic factors. The incidence of osteoarthritis
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. BMAC has been demonstrated to have good long-term results in the treatment of both OLTs and OA. In one of these studies patients receiving BMAC therapy demonstrated significantly increased AOFAS scores, decreased Ankle Osteoarthritis Scale pain and
School of Medicine, Universidad de La Laguna, Tenerife, Spain
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School of Medicine, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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School of Medicine, Universidad de Sevilla, Sevilla, Spain
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frail elderly patients ( 27 ), when present and symptomatic, it presents with painful limitation of mobility in the ankle. As such, pre-existing ankle osteoarthritis is a clinical factor in favour of TTC nailing. Alcohol abuse and/or smoking
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-operatively. Thereafter, progressive weight-bearing can be started along with an exercise programme. 35 Previous ankle osteoarthritis is a predictor of poor outcome of these techniques, so tibiotalar arthrodesis is then preferred. 35 , 40 Lesions of the ankle
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
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Department of Electromechanics, InViLab research group, University of Antwerp, Antwerp, Belgium
Department of Trauma and Orthopedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
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et al. described a significant improvement in the pain Visual Analog Scale (VAS) in the ankle osteoarthritis (OA) patient subgroup that obtained parallelization of the ankle joint line orientation following medial opening wedge high tibial osteotomy
