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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

[Foot and ankle surgery].

O Niggemeyer1, F Moosig, W Rüther

  • 1Klinik und Poliklinik für Orthopädie, Universitätsklinikum Hamburg Eppendorf, Hamburg. niggemeyer@klinikumbb.de

Zeitschrift Fur Rheumatologie
|January 27, 2011
PubMed
Summary
This summary is machine-generated.

Rheumatoid arthritis frequently impacts the foot and ankle, causing deformities and reduced quality of life. Early conservative treatments and stage-specific management are crucial for patients with this systemic disease.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Podiatry

Background:

  • Rheumatoid arthritis (RA) is a systemic autoimmune disease with high prevalence of foot and ankle involvement (85%-100%).
  • RA leads to characteristic deformities, including joint effusion, cartilage destruction, ligament/capsule distension, and tendon insufficiency.
  • Foot and ankle involvement significantly impacts patient mobility, comfort, and quality of life due to pain, instability, and footwear issues.

Purpose of the Study:

  • To highlight the significant impact of rheumatoid arthritis on the foot and ankle.
  • To describe the characteristic deformities and their progression in relation to disease stage.
  • To emphasize the importance of comprehensive clinical assessment and tailored management strategies.

Main Methods:

  • Clinical assessment of lower limbs, considering factors like knee valgus deformity.
  • Identification of early-stage changes such as joint effusion ('stiff' and 'loose' types).
  • Evaluation of tendon integrity and joint involvement, particularly the talonavicular joint and forefoot.

Main Results:

  • Foot and ankle deformities are prevalent and characteristic in rheumatoid arthritis patients.
  • Early stages involve joint effusion, cartilage destruction, and ligament/capsule laxity.
  • Tendon destruction and insufficiency are common, centralizing problems in talonavicular and forefoot joints.

Conclusions:

  • Adequate medical therapy for rheumatoid arthritis is essential.
  • Conservative treatments, including orthotics, are vital in early stages and post-surgery.
  • Stage-specific perioperative management is crucial for systemic rheumatoid arthritis affecting the foot and ankle.