Total Ankle Replacement in Varus Ankle Osteoarthritits | OMICS International | Abstract
ISSN: 2329-910X

Clinical Research on Foot & Ankle
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Review Article

Total Ankle Replacement in Varus Ankle Osteoarthritits

Matthias G Walcher1*, Alexej Barg2, Steinert A1, Maximilian Rudert1, Maik Hoberg1 and Victor Valderrabano2
1Department of Orthopaedic Surgery, University of Würzburg, König-Ludwig-Haus, Brettreichstr, Germany
2Department of Orthopaedic Surgery, Universitässpital Basel, Basel, Switzerland
Corresponding Author : Matthias Walcher
Consultant Orthopaedic Surgeon
University of Würzburg
Departement of Orthopaedic Surgery König-Ludwig-Haus
Brettreichstr. 11, 97074 Würzburg, Germany
Tel: +49 931 803 3120
E-mail: [email protected]
Received January 24, 2014; Accepted February 25, 2014; Published February 28, 2014
Citation: Walcher MG, Barg A, Steinert A , Rudert M, Hoberg M, et al. (2014) Total Ankle Replacement in Varus Ankle Osteoarthritits. Clin Res Foot Ankle 2:134. doi:10.4172/2329-910X.1000134
Copyright: © Walcher GM, 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.
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About 50% of the cases with degenerative osteoarthritis of the ankle are asymmetric. Varus ankle osteoarthritis is far more frequent than valgus ankle osteoarthritis. Most of the cases of ankle osteoarthritis have posttraumatic aetiology. It is important to understand the deformity completely, and to distinguish simple deviations in the coronal plane from more-dimensional, complex cavovarus deformities involving the midfoot and the forefoot. Concomitant ligament and tendon imbalances and pathologies need to be identified and analysed. Correction planning needs to include the mechanical axis of the complete leg. Muscular imbalances need to be identified.

Even substantial deformities in varus ankle osteoarthritis can be treated with total ankle replacement successfully, if a plantigrade foot with balanced ligaments and tendons can be achieved. The corrective procedure may include realigning osteotomies, fusions, and correction of tendon and ligament pathologies.