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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2002 June;26(2):83-90
Osteoarthritis of the tibiotarsal joint. Classification and treatment
Andreasi A., Parino E., Marconetto M.
After reviewing the basic principles of the pathophysiology of the tibiotarsal joint, the authors propose a two-tier classification for the diagnosis and treatment of osteoarthritis in this articulation. Primary forms of the disease occur rarely, perhaps because the morphology of the joint and the articular functions of the tarsus are less subject to mechanical stress. Secondary forms are the product of injury (subluxations, chondral and osteochondral fractures, necrosis of the astragalus), with repeated microtrauma, chronic joint laxity, and biomechanical alterations; inflammatory processes (arthritis, osteomyelitis, rheumatism, etc.), or rare pathologic conditions (osteochondrosis, neoplasia, neuropathologies, etc.). The authors also review the most important surgical treatments and focus briefly on technical aspects of arthrodesis of the tibiotarsal joint, which remains the most indicated surgical procedure for the treatment of end-stage osteoarthritis.