• CareCredit Pay Online
  • Resources
  • Blog
P: (225) 754-8888 | F: (225) 755-2147
(225) 754-8888
HealthFlex
(225) 754-8888
×
  • Practice Areas
    • Diabetes
    • Foot and Ankle
    • Hands, Wrist & Elbow
    • Hip Pain
    • Knee Pain
    • Neck and Back
    • Shoulder
    • Work Related Injuries
  • Treatment Options
    • Physical Therapy
    • Revision Surgery
    • PRP
    • Stem Cell Therapy
    • Total Ankle Replacement
    • Telemedicine
    • Medical Marijuana
    • Baton Rouge IV Therapy
  • Wellness
    • The Healing Sole – Plantar Fasciitis Pain
    • Well Theory – Natural Medicine By Dr. Warner
    • Aesthetic Wellness
    • Medical Marijuana
  • Providers
    • Meredith Warner, MD
    • Kyle Lindow, DPM
    • Mary Nell Andereson, MD
    • Kristin Guedry, PT, DPT, ATC
    • Danielle Imarata, PT, DPT
    • Lauren Broussard APRN
    • Orthopedic Surgeon
    • Podiatrist
  • Educational Seminars
  • Contact
  • Blog

Ankle Arthritis and Realignment Osteotomy

October 22, 2015NewsArticleFitnessHealthMedical

Ankle arthritis is common and as debilitating as knee arthritis or hip arthritis. Ankle arthritis, unlike knee or hip arthritis, is usually post-traumatic. While almost all arthritis of the knee and hip is age-related and genetic in nature, up to 80% of ankle arthritis is post-traumatic. Usually, the patient had a fracture or very significant ligamentous injuries at some point. It may take 20 to 30 years for such arthritis to become problematic in the ankle.

Ankle arthritis does not automatically mean that a fusion is necessary as the treatment. Although for many years fusion surgery was the so-called ‘gold standard’ for the treatment of painful arthritis, this is no longer true. There are a variety of treatment options that should be discussed at your clinic visit. However, unless your surgeon is current and is performing cutting-edge surgeries, he or she may not think outside of fusion for the treatment of ankle arthritis.

If a patient presents with arthritis and a deformity whereby the ankle turns either in or out too much, a realignment osteotomy is a good option. This surgery is very technical and requires good technique, proper patient selection, and thorough preoperative planning. IF your surgeon is able and willing to do this type of surgery, it is a great way to keep your own ankle joint and reduce pain yet increase function. Eventually, as one ages a fusion may be necessary; however, a well-done realignment osteotomy is often converted to a total ankle replacement. A replacement can treat end-stage arthritis with a motion preserving implant.

The basic principle of a realignment osteotomy is change in the contact pressures of the ankle joint. An ankle joint that is misaligned by even 2mm (2 millimeters) can have increased contact pressures of up to 42% overall. More contact pressure eventually leads to cartilage damage and possibly pain. Unless the ankle is as close to anatomically aligned as possible, the arthritis will progress and the pain will remain. By changing the overall shape of the ankle, pressure is redistributed and the cartilage is preserved. Patients that undergo this surgery have pain relief and improved function. This is so even when up to 50% of the joint surface is arthritic prior to surgery.

How do you know if your ankle would benefit from a realignment osteotomy?

The first thing you must do is find a surgeon that performs these surgeries, understands them and is willing to do them. Many surgeons still believe that fusions are the only answer to arthritis. If your surgeon tells you that fusion is the only option and that nothing else will ever work, simply locate a surgeon that is performing these advanced joint-preserving procedures. If you have arthritis in the ankle with a deformity, you could benefit from this procedure. The usual deformities are a ‘valgus’ or ‘varus’ ankle; these are ankles that tilt too much to either side.  (figure 1 )  The individuals that typically do not do well with this procedure have absolutely no cartilage left, infection, neuropathic bone changes (different from sensory neuropathy) or have a totally un-fixable instability of the ligaments. Otherwise, you could be a candidate for this joint-sparing procedure.

If you wish to see if Dr. Warner believes that you are a possible surgical candidate, please answer these clinical questions and upload your films. She will evaluate your case and determine if a consultation for surgery is worth your time.

  • Do you have arthritis of the ankle?
  • Is your ankle arthritis due to a previous fracture?
  • Is your ankle arthritis due to infection or neuropathy?
  • Is your ankle arthritis from a severe ankle sprain or a series of minor ankle sprains?
  • How old are you?
  • What is your height?
  • What is your weight?
  • Do you have an osteochondral defect of the talar dome?  (an OCD?)
  • Have you been told that you have a cartilage fracture?
  • Have you been told that you have dead bone?
  • Have you been told that your only option is a fusion surgery?
<< Prev
Back to Blog
Next >>
Recent Posts
Here’s Why Saunas Stimulate Muscle Growth
CBD VS THC For Stress

Schedule an Appointment

    Recent Blog Posts

    • Here’s Why Saunas Stimulate Muscle Growth Jun 18
    • CBD VS THC For Stress Jun 11
    • How Cannabis Can Help Relieve Stress Jun 10
    • How To Age With Grace: Combating Menopause Symptoms Naturally Jun 3
    • Understanding COX-2 Inhibitors And Heart Disease May 27

    Warner Orthopedics & Wellness

    Warner Orthopedics & Wellness

    (225) 754-8888

    9373 Barringer Foreman Rd., BR 70817

    Physical Therapy Direct Line

    (225) 412 - 9987

    Patient Portal

    Clinic Visit

    Post-Operation Instructions

    FAQ’s for Dr. Warner

    Disclaimer

    Medical Marijuana

    Latest Posts

    • Here’s Why Saunas Stimulate Muscle Growth Jun 18

      Saunas are a popular post-workout activity. They do more than...

    • CBD VS THC For Stress Jun 11

      CBD or THC for Stress Relief? If you’re experiencing stress...

    • How Cannabis Can Help Relieve Stress Jun 10

      For many, stress can be hard to manage. Prescription stress...

    Copyright ©2022 all rights reserved
    Built by Tech Advocate Group