Abstract
Ankle arthritis is a debilitating condition that can have profound negative impacts on patient function and quality of life. Up until 30 years ago, end-stage ankle arthritis (ESAA) was most commonly treated with arthrodesis of the tibiotalar joint, which allowed for predictable pain relief albeit at an expense of function. Total ankle replacement (TAR) has evolved to being the preferred treatment option for many patients with end-stage ankle arthritis.
Ankle arthritis is most commonly the sequela of trauma. In this setting of post-traumatic arthritis, it is common to have associated arthritis within adjacent joints of the foot. Subtalar joint fusion or adjacent joint procedures are sometimes performed in the setting of TAR to correct deformity and address concomitant neighboring joint disease. Coexistent adjacent joint disease is a strong indication for TAR with significant improved clinical results compared to ankle arthrodesis. Limited data exists on the effect of TAR and the resulting adjacent joint arthritis progression. Therefore, the aim of this chapter is to critically assess the literature and evidence-based medicine surrounding ipsilateral joint arthritis following total ankle replacement.
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Consul, D.W., Thompson, M.J., Berlet, G.C., Hyer, C.F., Prissel, M.A. (2021). Managing Adjacent Joint Arthritis: Indications and Techniques for Concomitant or Staged Fusions of the Hindfoot and Midfoot. In: Roukis, T.S., Hyer, C.F., Berlet, G.C., Bibbo, C., Penner, M.J. (eds) Primary and Revision Total Ankle Replacement. Springer, Cham. https://doi.org/10.1007/978-3-030-69269-8_20
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DOI: https://doi.org/10.1007/978-3-030-69269-8_20
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