Ankle arthrodesis and its relationship to ipsilateral arthritis of the hind- and mid-foot

B Sheridan, D Robinson, M Hubble, IG Winson

    Research output: Contribution to journalArticle (Academic Journal)

    54 Citations (Scopus)

    Abstract

    It has been suggested that arthrodesis of the ankle leads to osteoarthritis of the joints of the ipsilateral hind- and midfoot. We believe these studies overlooked the presence of osteoarthritic changes in these joints before the arthrodesis. We reviewed the pre-operative radiographs of 70 patients with osteoarthritis of the ankle who underwent 71 ankle arthrodeses (one was bilateral). The talonavicular, calcaneocuboid, subtalar and naviculocuneiform joints were given an osteoarthritis score according to Kellgren and Lawrence. The mean age at operation was 54.9 years and the most common indication was for post-traumatic osteoarthritis (52 cases). A total of 68 patients showed pre-existing arthritis in either the hind- or mid-foot, with the subtalar joint the most commonly affected. Ipsilateral hind- and mid-foot arthritis is almost universally present in patients with arthritis of the ankle requiring arthrodesis. The presence of such changes may not be a consequence of this arthrodesis.
    Translated title of the contributionAnkle arthrodesis and its relationship to ipsilateral arthritis of the hind- and mid-foot
    Original languageEnglish
    Pages (from-to)206 - 207
    Number of pages2
    JournalJournal of Bone and Joint Surgery
    Volume88 (2)
    DOIs
    Publication statusPublished - Feb 2006

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