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Foot & Ankle | Ankle Arthrodesis

The Orthobullets Podcast

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Avascular Necrosis of the Tailus With Tibiotelocalconial Arthritis

A 46-year-old male is 2.5 years out from a closed subtailor dislocation treated with reduction in casting. His current AP and lateral radiographs demonstrate Avascular necrosis of the tailus with tibiotailor and subtailor osteoarthritis. He has attempted bracing, injections, and NSAIDs, but continues to be significantly limited. What is the most appropriate surgical management for this patient? And the choices are 1. Tibiotelocalconial arthordesis using the anterior approach; 2. Ankle arthordsia utilizing the anterior approach or 3. Total ankle arthoplasty using the lateral transfibular approach. A

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