This will be up to your supervising specialist as many individual factors need to be considered first. If surgery is appropriate they may look at options such as arthrodesis (fusion of the ankle joint) or total ankle replacement.
Rheumatoid arthritis is an inflammatory condition in which the body’s immune system attacks it’s own tissues, in this case the small joints in your body. Osteoarthritis occurs when the protective cartilage in joints wears down over time.
It is a combined fusion of the ankle joint and subtalar joint.
This will be up to the individual orthopedic surgeon, however, it may be indicated in patients with severe bone loss, severe deformity and advanced arthritis affecting both the ankle and subtalar joint.
According to a report by Dines et al, there are several studies which have concluded that the most common injury to the tennis player is an ankle sprain. One of the easiest prevention measures to take, and if you notice at the US Open this summer most professionals have them, […]
The carpal tunnel is a tunnel through your wrist whose boundaries are created by fascia, bone and tendons. Two of the major nerves to the wrist and hand run through this tunnel. The ulnar nerve runs outside of the tunnel so when the ulnar nerve is compressed it is a […]
Using a multilayer compression wrap, like an Ace wrap, can be very effective at reducing swelling whether you sprain your ankle or break it. Using a combination of cold pack applications, elevating your swollen foot and using the compression wrap can be even more helpful for reducing pain, improving ankle […]
Manuela Rohner-Spengler, a clinical Physical Therapist and a team of MD/PhDs from the Departments of Rheumatology and Physiotherapy and Trauma Surgery at the Lucerne Cantonal Hospital in Switzerland took interest the optimal pre-operative swelling management techniques to yield the best post-operative outcomes. They found when impulse compression devices or pneumatic […]
The best option for you is to remove the aggravating factor from your daily routine. Symptoms can often diminish with rest, thus it is best to stop performing the specific triggering activity. If you continue to dance on pointe or demi-pointe not only is an increase in pain possible, this […]
First off it’s important to determine the cause of your pain. Os trigonum syndrome is diagnosed primarily from clinical history and plain radiography. Typically conservative non-operative management will be the first treatment option. If this option fails to change symptoms or progress then surgical options may be discussed with your […]
The treatment options are classified into two main categories, joint preserving techniques and non-joint preserving procedures. Non-joint preserving techniques are typically chosen in advanced stage osteonecrosis. These techniques include arthrodesis or joint fusion, talectomy or removal of all or a portion of the talus, and arthroplasty or a joint resurfacing. […]
Percutaneous drilling is a type of bone decompression surgery that is relatively new. This technique differs slightly from other core decompression techniques in that it uses smaller drill bits and is thus less invasive and removes less bone. It has been the subject of recent attention as it has been […]
The most common complication reported from this study of 106 patients was a medial malleolar fracture. Other less common problems were persistent medial ankle pain, infection and a distal tibial fracture. Two patients with the persistent medial ankle pain were later diagnosed with medial impingement, and had a successful surgery […]
A coronal-plane deformity is a bony deformity of the calcaneus (heel bone) that changes the angle of the ankle from the normal position. This angle can be valgus or varus meaning the heel is angled out or in respectively. This can be corrected at the time of the ankle replacement […]
Advances in technology now show good results with ankle replacements. Currently, there are two options that allow for improved function and decreased pain: a mobile implant, that allows for motion in multiple planes, and a fixed-bearing, that allows for pointing and flexing the ankle, but little side to side motion. […]
There is a mobile implant available but recent evidence suggests that there is little difference between the two implant types. A fixed implant actually allows for better gait mechanics. People with mobile implants report better pain reduction, but this could be a study flaw. This is ultimately a discussion you […]
Osteonecrosis is defined on ankle and foot radiographs as increased radiographic density, relative to the adjacent osseous structures, essentially meaning that there has been interruption of the vascular supply to the bone causing bone death. Although this sounds bad, in this study it appears that the radiographic density will normalize […]
In this study the timing of fracture fixation was at the discretion of the treating surgeon and usually this decision is associated with the severity of soft-tissue swelling. The decision to delay fixation is related to a lower rate of soft-tissue complications due to several factors including being able to […]
A review on ankle syndesmotic sprains identified a recent systematic review of six research studies comparing high ankle sprains to lateral ankle sprains. Athletes in these studies who suffered high anklesprains missed significantly more games, reported more residual symptoms long-term, and reported longer average recovery time compared to lateral ankle […]
Traditionally all syndesmotic fractures are treated operatively with screw fixation being the gold-standard. There are a lot of choices for the type of screw used in this procedure, including single or double, metal or bioabsorbable. Double screws provide the greatest amount of stabilization. You are correct to be concerned about […]