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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Related Experiment Video

Updated: Mar 26, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Gutter Impingement in Total Ankle Arthroplasty.

John M Schuberth1, David A Wood2, Jeffrey C Christensen2

  • 1Kaiser Foundation Hospital, San Francisco, California (JMS)Mid-Atlantic Permanente Medical Group, Greater Baltimore Medical Center, Lutherville, Maryland (DAW)Department of Orthopedics, Swedish Medical Center, Seattle, Washington (JCC) jmfoot@aol.com.

Foot & Ankle Specialist
|February 10, 2016
PubMed
Summary

Gutter disease and pain after total ankle arthroplasty (TAA) are common but poorly understood. This monograph offers expert insights into the causes, prevention, and treatment of TAA gutter complications.

Keywords:
ankle arthroplastyankle replacementcomplicationsgutter impingement

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Gutter pain and impingement are known complications after total ankle arthroplasty (TAA).
  • Limited existing literature addresses the etiology, contributing factors, treatment, and prevention of gutter disease following TAA.

Purpose of the Study:

  • To provide a comprehensive understanding of gutter disease after TAA.
  • To offer insights for surgeons to minimize these complications.

Main Methods:

  • This work is based on Level V evidence: expert opinion.
  • A comprehensive review and synthesis of current knowledge.

Main Results:

  • Detailed discussion of the etiology and potentiating factors of gutter disease.
  • Exploration of current and potential treatment strategies.
  • Recommendations for prevention of gutter disease.

Conclusions:

  • Gutter disease is a significant concern in TAA, requiring further attention.
  • This monograph serves as a valuable resource for optimizing TAA outcomes by addressing gutter complications.