Case for small group discussion Ankle arthritis Case for small group discussion AOTrauma—Foot & Ankle Module 7: Ankle arthritis Per-Henrik Agren, SE

Case description 60-year-old woman Increasing ankle pain Cavus foot Frequent stumbles Weight-bearing pain, no rest pain Cannot exercise or walk

Preoperative x-rays

What are the options? Fusion Total ankle replacement with deformity correction Supramalleolar osteotomy and removal of anterior and medial osteophytes

Take-home messages Always consider ankle joint-sparing osteotomy before fusion in patients with: Mild to moderate arthritis and deformity Preserved ankle motion Good compliance Younger age Realignment of the mechanical axis in three planes