The Orthobullets Podcast

Foot & Ankle⎪Ankle Arthritis

Aug 19, 2023
Orthobullets covers the high-yield topic of ankle arthritis, discussing its types, diagnosis, and treatment options. They explore non-operative and operative management techniques, including ankle debridement, exostectomy, distraction arthroplasty, and supermalleolar osteotomy. The podcast also explores the treatment options for ankle arthritis, such as arthrodesis, arthroplasty, and medial opening wedge super malleolar osteotomy. They discuss the stages of ankle arthritis and appropriate treatment options for each stage using the Tachychora classification system. They also review incorrect answers for a question and promote the Orthobullets podcast.
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INSIGHT

Ankle Arthritis Epidemiology & Etiology

  • Ankle arthritis is less common than knee or hip osteoarthritis.
  • Post-traumatic arthritis is the most frequent type, while osteoarthritis makes up under 10% of cases.
INSIGHT

Pathoanatomy of Ankle Arthritis

  • Non-anatomical fracture healing disrupts ankle mechanics by changing joint contact forces.
  • Cartilage loss leads to joint space narrowing, subchondral sclerosis, and osteophyte formation.
INSIGHT

Ankle Osteology

  • The ankle, a hinge joint, comprises the tibia, talus, and fibula.
  • The talar dome has a biconcave structure with a central sulcus.
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