The Journal of Bone and Joint Surgery (American). 2007;89:15-28.
doi:10.2106/JBJS.G.00544
© 2007 The Journal of Bone and Joint Surgery, Inc.
The Treatment of Severe Posttraumatic Arthritis of the Ankle Joint
S. Giannini, MD,
R. Buda, MD,
C. Faldini, MD,
F. Vannini, MD,
M. Romagnoli, MD,
G. Grandi, MD and
R. Bevoni, MD
Corresponding author: Sandro Giannini, MD Department of Orthopaedic
Surgery, University of Bologna, Istituti Ortopedici Rizzoli, Via G.C. Pupilli
1, 40136 Bologna, Italy. E-mail address:
giannini@ior.it
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Introduction
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Posttraumatic ankle arthritis consists of a progressive alteration of the
hyaline cartilage, sclerosis of the subchondral bone, and osteophyte and
loose-body formation as a result of an ankle injury. It may develop after
nonoperative or surgical repair of an ankle injury in the form of cartilage
damage, lateral malleolus malunion with shortening and valgus deformity,
tibial plafond disruption and cartilage damage, malunion or necrosis of the
talus, or joint
instability1-5.
The aim of the current study was to present our treatment guidelines for
severe posttraumatic stage-2 or 3 ankle
arthritis6 on the
basis of the results for a series of 190 patients.
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Materials and Methods
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One hundred and ninety patients ranging from seventeen to seventy years of
age who had stage-2 or 3 posttraumatic ankle arthritis
(Table I) were managed between
1994 and 2004.
View this table:
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TABLE I Ankle Arthritis Classification System
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Surgical strategies were decided according to the stage of arthritis, the
age . . . [Full Text of this Article]

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