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Ankle Arthritis: To Fuse Or Not To Fuse?

Jeffrey Bowman DPM MS | 7,178 reads | 0 comments | 01/23/2013

Given that our current political leaders cannot seem to agree on much, let us look at what has divided podiatry into two parties: the “Fusion” party and the “Replacement” party.

Today, a debate exists whether to fuse or replace an ankle joint. Both procedures are indicated for arthritis that occurs from normal joint degeneration, a traumatic event or inflammatory arthritis.

A Closer Look At Foot Orthoses For Chronic Ankle Instability

Douglas Richie, Jr., DPM, FACFAS, FAAPSM | 30,039 reads | 0 comments | 04/22/2013

In light of an increasing body of research on the effect of orthoses on chronic ankle instability and postural sway, this author discusses essential biomechanical considerations and recommends orthotic prescriptions and modifications to treat unstable ankles.

Essential Insights On Treating End-Stage Ankle Arthritis

John F. Grady, DPM, FASPS, Sarah Mahowald, DPM, and Donald Graves, DPM | 25,963 reads | 0 comments | 03/26/2013

Sharing insights from the literature and surgical experience, these authors suggest a re-evaluation and possible elevation of ankle arthroplasty over ankle arthrodesis as a preferred option for appropriate patients with end-stage ankle arthritis.

Pertinent Insights On The Evolution Of The Ankle Arthroscopy

Jeffrey Bowman DPM MS | 4,693 reads | 0 comments | 12/28/2012

Arthroscopy in the ankle began in the 1920s with limited visualization. Initially, practitioners used 4.0 mm scopes until Takagi developed a 2.7 mm scope and implemented distraction techniques.1 Today, a 2.5 mm scope, distraction techniques and irrigation systems improve the ease and efficacy of ankle joint arthroscopy. Indications for ankle arthroscopy include diagnostic evaluation, synovitis, capsulitis, tibial/talar exostosis, ankle arthritis or osteochondral defects/fragments.

Exploring New Advances In Digital Arthrodesis

By Gerard V. Yu, DPM, Andrew Vincent, DPM, and Wissam Khoury, DPM | 21,021 reads | 0 comments | 09/03/2003

Over the years, a multitude of techniques have been described and employed for digital arthrodesis, ranging from arthroplasty and arthrodesis to flexor tendon transfer and lesser digital implants. Each procedure has a place in surgical correction of digital deformities. Digital arthrodesis, in particular, provides permanent and reliable correction of deformities and is considered by the senior author to be a favored technique, especially when it comes to managing digital deformities of a biomechanical etiology.

When A Venous Ulcer Leads To A Rigid Varus Ankle Deformity

Damien Dauphinée, DPM, FACFAS, FAENS, FACCWS, CWS-P | 7,221 reads | 0 comments | 02/28/2013

This author details the treatment of a patient’s rigid varus deformity, which caused calluses and wounds, and prevented her from wearing shoe gear.

Mastering Ankle Impingement Syndromes

By Shine John, DPM, Robert W. Mendicino, DPM, and Alan R. Catanzariti, DPM | 81,116 reads | 0 comments | 08/03/2007

Impingement syndromes can result in chronic ankle pain. Initially described as “athlete’s ankle” and “footballer’s ankle,” these syndromes have been associated with athletic activities such as soccer, running, volleyball, high jumping and ballet dancing.1-3 These syndromes can affect either the anterior or posterior aspect of the ankle joint and its causal pathway can be of soft tissue and/or osseous origin.

Point-Counterpoint: Triple Arthrodesis: Is It The Standard Of Care For Hindfoot Reconstructions?

Ben Carelock, DPM, Peter A. Blume, DPM, FACFAS, and Christopher Hendrix, DPM, FACFAS | 31,519 reads | 0 comments | 12/28/2010
Yes. Citing the procedure’s stability and correction of deformities in multiple planes, these authors argue the triple arthrodesis is the gold standard for multiplanar hindfoot deformities.

By Ben Carelock, DPM, and Peter A. Blume, DPM, FACFAS

New Surgical Screws May Lead To Improved Arthrodesis Results

By Aaron Becker, Special Projects Editor | 4,072 reads | 0 comments | 07/03/2007

The recent introduction of longer surgical screws may facilitate improved outcomes with lesser digital arthrodesis procedures. The new Cannulated Titanium Lag Screws stand out with a thinner and longer profile, making them “ideal for severe digital deformities,” according to the manufacturer OsteoMed. The 2.0 mm screw ranges between 6 to 42 mm in length and the 2.4 mm screw ranges between 6 to 50 mm in length. David J.

Is Arthrodesis The Answer For First MPJ Arthritis?

By Brian McCurdy, Associate Editor | 8,779 reads | 0 comments | 05/03/2002

What is the best treatment approach for seniors who have painful arthritis in the first MPJ? Arthrodesis may provide significant pain relief for these patients, according to the results of a recent 29-patient study presented at the annual meeting of the American College of Foot and Ankle Surgeons (ACFAS).