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

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

3. Preoperative x-rays

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

17. 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