Ankle Arthritis: An Evolution from Arthrodesis to Joint and Mobility Preservation
Choon Chiet HONG and Ken Jin TAN*
University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, Singapore
- *Corresponding Author:
- Ken Jin TAN
Hand and Reconstructive Microsurgery Cluster
National University Hospital
Singapore1E, Kent Ridge Road, Singapore 119228
Tel: (65) 6779 5555
Fax: (65) 6775 0913
E-mail: [email protected]
Received Date: October 31, 2013; Accepted Date: January 28, 2014; Published Date: February 07, 2014
Citation: Hong CC, Tan KJ (2014) Ankle Arthritis: An Evolution from Arthrodesis to Joint and Mobility Preservation. Orthop Muscul Syst 3: 144. doi: 10.4172/2161-0533.1000144
Copyright: © 2014 Hong CC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Ankle arthritis is a debilitating condition. It can disrupt physical function and quality of life. Non surgical treatment
includes pharmacological agents and orthoses. Surgical options range from arthrodesis to joint preservation techniques.
Ankle arthrodesis is a reliable and effective treatment of choice for advanced ankle arthritis but has its limitations. Total
ankle arthroplasty is fast gaining renewed interest as longer term outcome studies show good results coupled with
improved implant and instrumentation designs. Osteotomies and arthroscopic debridement are increasingly popular
techniques that are useful for joint preservation. Joint distraction arthroplasty and osteochondral allografting are also
showing some promise. This article reviews the impact of ankle arthritis and treatment strategies available from joint
sacrificing surgery to joint and mobility preservation.