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Updated: Apr 27, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Midfoot and forefoot osteoarthritis
Leonid Kalichman1, Gabriela Hernández-Molina2
1Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel.
Foot osteoarthritis (OA) causes pain and limits function. Current research on midfoot and forefoot OA is limited, with few studies supporting treatment efficacy.
Area of Science:
- Orthopedics
- Rheumatology
- Podiatry
Background:
- Foot osteoarthritis (OA) is a significant cause of chronic foot pain.
- OA leads to functional impairment, affecting mobility and quality of life.
Purpose of the Study:
- To comprehensively review existing literature on midfoot and forefoot OA.
- To synthesize current knowledge regarding epidemiology, clinical presentation, and management.
Main Methods:
- Extensive literature search across PubMed, CINAHL, PEDro, and Web of Science (1950-2013).
- Inclusion of cohort, cross-sectional studies, and clinical trials focusing on foot OA.
- Keywords included foot OA, midfoot OA, forefoot OA, and metatarsal OA.
Main Results:
- Significant heterogeneity observed in study designs, radiographic techniques, and OA grading systems.
- Radiographic OA prevalence varies widely (0.1%-61%), influenced by gender, age, and specific joint.
- Age and female gender are key associated factors; structural and mechanical elements also implicated.
Conclusions:
- Current understanding of foot OA relies heavily on observational and small case-control studies.
- Further robust population-based and controlled trials are crucial.
- More research is needed to elucidate risk factors and validate treatment effectiveness.
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