Is Arthrodesis The Answer For A Severely Deformed Ankle?

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Here is an anterior-posterior (AP) view of the right ankle. Note the severe varus deformity and degeneration secondary to post-polio syndrome.
Here is a lateral incision of the ankle with the distal fibula being resected.
By Jesse B. Burks, DPM, MS

1.Simon SR, Tejwani SG, Wilson DL, Santner TJ et al: Arthrodesis as an early alternative to nonoperative management of Charcot arthropathy of the diabetic foot. JBJS 82A:939-950, 2000.
2.Stone NC, Daniels TR: Midfoot and hindfoot arthrodesis in diabetic Charcot arthropathy. Can J Surg 43(6): 449-455, 2000.
3.Vogler HW: Surgical Management of neuromuscular deformities of the foot and ankle in children and adolescents. Clin Podiatr Med and Surg. 4 (1): 175-206, 1987.
4.Faillace JJ, Leopold SS, Brage ME: Extended hindfoot fusions and pantalar fusions. History, biomechanics, and clinical results. Foot Ankle Clin 5(4): 777-798, 2000.
5.Glissan DJ. The indications for inducing fusion at the ankle by operation with description of two successful techniques. Aust N Z J Surg; 19:64-71, 1949.
6.Buck P, Morrey BF, Chao EY: The optimum position of the arthrodesis of the ankle: A gait study of the knee and ankle. J Bone Joint Surg 69A: 1052-1062, 1987.

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