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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 2, 206-207.
doi: 10.1302/0301-620X.88B2.17065  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Ankle arthrodesis and its relationship to ipsilateral arthritis of the hind- and mid-foot

B. D. Sheridan, BSc(Hons), MBChB, MRCS(Ed), Specialist Registrar, Orthopaedic Surgery1; D. E. Robinson, FRCS(Orth), Consultant Orthopaedic Surgeon2; M. J. W. Hubble, FRCS(Orth), Consultant Orthopaedic Surgeon3; and I. G. Winson, MBChB, FRCS, Consultant Orthopaedic Surgeon4

1 Department of Orthopaedic Surgery Musgrove Park Hospital, Taunton, Somerset TA1 5DA, UK.
2 Royal United Hospital, Coombe Park, Bath BA1 3NG, UK.
3 Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW, UK.
4 Avon Orthopaedic Centre Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK.

Correspondence should be sent to Mr B. D. Sheridan; e-mail: bdsheridan{at}hotmail.com

It has been suggested that arthrodesis of the ankle leads to osteoarthritis of the joints of the ipsilateral hind- and midfoot. We believe these studies overlooked the presence of osteoarthritic changes in these joints before the arthrodesis.

We reviewed the pre-operative radiographs of 70 patients with osteoarthritis of the ankle who underwent 71 ankle arthrodeses (one was bilateral). The talonavicular, calcaneocuboid, subtalar and naviculocuneiform joints were given an osteoarthritis score according to Kellgren and Lawrence. The mean age at operation was 54.9 years and the most common indication was for post-traumatic osteoarthritis (52 cases). A total of 68 patients showed pre-existing arthritis in either the hind- or mid-foot, with the subtalar joint the most commonly affected.

Ipsilateral hind- and mid-foot arthritis is almost universally present in patients with arthritis of the ankle requiring arthrodesis. The presence of such changes may not be a consequence of this arthrodesis.




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R. Smith and P. L. R. Wood
Arthrodesis of the ankle in the presence of a large deformity in the coronal plane
J Bone Joint Surg Br, May 1, 2007; 89-B(5): 615 - 619.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General