Treatment of the arthritic valgus ankle.

Foot Ankle Clin

Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, Basel CH-4031, Switzerland.

Published: December 2012

AI Article Synopsis

  • The ankle joint is part of a complex biomechanical system in the hindfoot, with around 1% of adults worldwide affected by ankle osteoarthritis (AO), primarily due to trauma leading to deformities.
  • Half of the patients with end-stage AO have abnormal hindfoot alignment, highlighting the impact of the condition on overall foot structure.
  • The article reviews the biomechanics of arthritic valgus ankles, discusses therapeutic options for treatment, explores challenges in the field, and analyzes outcomes for patients with valgus deformities who have undergone total ankle replacement.

Article Abstract

The ankle joint is part of a biomechanical hindfoot complex. Approximately 1% of the world's adult population is affected by ankle osteoarthritis (AO). Trauma is the primary cause of ankle OA, often resulting in varus or valgus deformities. Only 50% of patients with end-stage ankle OA have a normal hindfoot alignment. The biomechanics and morphology of the arthritic valgus ankle is reviewed in this article and therapeutic strategies, including joint preserving and nonpreserving modalities are presented. Pitfalls are discussed and the literature is reviewed regarding outcomes in patients with valgus deformity who underwent total ankle replacement.

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http://dx.doi.org/10.1016/j.fcl.2012.08.007DOI Listing

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