SPECIAL ARTICLE  CURRENT CONCEPTS IN THE TREATMENT OF ANKLE OSTEOARTHRITIS 

Minerva Orthopedics 2021 December;72(6):604-9

DOI: 10.23736/S2784-8469.21.04104-7

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Surgical interventions for ankle osteoarthritis in the athletic population

Alberto MARANGON ¹ ✉, Arianna L. GIANAKOS ², Andrea PANTALONE ³, Pietro RAO ³, John G. KENNEDY ⁴

¹ San Francesco Clinic, Verona, Italy; ² Department of Orthopedic Surgery, Robert Wood Johnson Barnabas Health, Jersey City Medical Center, Jersey City, NJ, USA; ³ Clinic of Orthopedics and Traumatology, “SS. Annunziata” Hospital, Chieti, Italy; ⁴ Department of Orthopedic Surgery, New York University, New York, NY, USA

This review is a picture of the various surgical interventions utilized in the treatment of post-traumatic osteoarthritis (PTOA) of the ankle joint in the highly active individual. Although nonsurgical interventions are preferred initially in the treatment of PTOA, disease severity and patient goals may necessitate surgical interventions. Arthroscopy with or without biologics, osteochondral allograft transplantation, joint distraction arthroplasty, and supra-malleolar osteotomy may all be indicated in patients with mild-to-moderation ankle PTOA. Ankle arthrodesis and total ankle arthroplasty both result in good functional outcomes in patients who have more severe PTOA.

KEY WORDS: Ankle; Surgical procedures, operative; Orthopedics