[Corrective osteotomy of the ankle joint]

Area of Science:

• Orthopedics
• Sports Medicine
• Traumatology

Background:

• Ankle osteoarthritis impacts a younger demographic compared to hip/knee arthritis.
• Often secondary to trauma or occupational/sporting activities.
• Asymmetric arthritis with correctable malalignment is common in this group.

Purpose of the Study:

• To evaluate corrective osteotomy as a joint-preserving treatment for young, active ankle osteoarthritis patients.
• To assess the potential of osteotomy to prevent or delay arthrodesis.

Main Methods:

• Utilizing 3-dimensional diagnostics for comprehensive assessment.
• Emphasizing precise surgical planning and indication interpretation.
• Addressing all relevant components: fibular, hindfoot, and instability.

Main Results:

• Corrective osteotomy offers a biological and functional advantage.
• Preserves the native ankle joint.
• Can potentially prevent or delay the need for ankle fusion (arthrodesis).

Conclusions:

• Corrective osteotomy is a viable option for young, active patients with specific ankle osteoarthritis profiles.
• Success hinges on accurate diagnostics, meticulous planning, and addressing all contributing factors.
• This approach aims to maintain joint function and postpone definitive fusion.