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Ankle Arthritis: Etiology and Classifications

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Ankle Joint Arthroscopy

Abstract

Ankle osteoarthritis (OA) is a painful, disabling condition resulting in dysfunction, impaired mobility, and worsening quality of life; it has a deeply different epidemiology from hip and knee and these may be related to biomechanical aspects. The knowledge of the underlying etiology is fundamental for choosing the best treatment. Primary OA with no history of trauma or general disorder is rare, but the number of such cases has risen in step with the aging of the population. Post-traumatic changes are the main reason of tibiotalar arthritis development (about 65–80%). Among the prevalent subcauses are chronic malalignment, chondral joint damage, chronic instability, and microinstability. Secondary causes of joint degeneration include also dysplasia, inflammatory conditions, infection, hemophilia, and vascular or neurological insults. Many classification systems are based on radiographic evaluation of degenerative changes of the joint. At the present time, there is no definitive consensus about the most valid and reliable scale for assessment of ankle OA.

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Pantalone, A., Guelfi, M., Salini, V., Guelfi, M.G.B. (2020). Ankle Arthritis: Etiology and Classifications. In: Allegra, F., Cortese, F., Lijoi, F. (eds) Ankle Joint Arthroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29231-7_21

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  • DOI: https://doi.org/10.1007/978-3-030-29231-7_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29230-0

  • Online ISBN: 978-3-030-29231-7

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