Ankle Arthritis in India
- 1. Arthroscopic debridement of Ankle
A debridement for ankle arthritis is useful in the earlier stages of the arthritic process. Ankle Arthroscopy is normally performed as a day case procedure and generally patients can weight bear straight away on the operated ankle. The success rate for the procedure is round about 80%. One needs to understand that arthroscopic debridement is not a permanent fix for arthritis.Success rate of corresponds to the percentage chance of improvement but not complete symptom resolution. ( Picture & link)
- 2. Corrective Osteotomy with or without ligament reconstruction
Osteotomy has a role in a young patient with early localised disease associated with mal-alignment of bones either tibia or talus. Supramalleolar opening or closing wedge osteotomy is done for supramalleolar tibial
Calcaneal ostetomy and ligament reconstruction is considered in early ankle arthritis secondary to chronic lateral ligament insuffiency and varus deformity of ankle(picture).
Early arthritis associated with Malunion of fracture is also treated with an appropriate reconstruction(picture).
- 3. Joint distraction with an External Fixator
Early osteoarthritis in a young patient can also be treated with Arthroscopic debridement and joint
Fusion is joining together of two adjoining joint surfaces with help of metal work. In arthroscopic or minimally invasive ankle fusion surgery the ankle joint surfaces are prepared through two small 1 cm incisions called portals using special key-hole camera and hair-pin size miniature instruments. The whole process is co-ordinated with the help of TV screen on which camera telecasts the video from inside the joint.
- 4. Arthroscopic Ankle Fusion
Open ankle fusion is the traditional time tested method for Ankle and subtalar joint arthritis
- 5. Open Ankle Fusion
- 6. Total Ankle replacement is covered in under the section of Ankle Replacement