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.
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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

The first 150 words of the full text of this article appear below.


    Introduction
 
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.


    Materials and Methods
 
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:



 
TABLE I Ankle Arthritis Classification System

 

Surgical strategies were decided according to the stage of arthritis, the age . . . [Full Text of this Article]


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