Ankle Arthritis

The ankle joint is composed of three bones. The Talus, Tibia and Fibula. Ankle arthritis Arthritis is one of the leading causes of disability in the united states. This usually occurs in patients over the age of 50. Arthritis of the ankle joint is the destruction of the cartilage between the three ankle joint bones. This can be very debilitating conditions limiting daily activity.

Ankle Arthritis

Causes

Overuse: seen in runners

Old age: as we age our cartilage normally wear out

Trauma: From previous injuries such as ankle fractures 

Family history: Genetics does play a key role in the development of arthritis

Rheumatoid arthritis or other autoimmune arthritis conditions

Bacterial infection/Septic joints

Osteochondral lesion: Lesions within the talus can eventually lead to breakdown of the cartilage and even lead to necrosis

Joint deformity: Uneven joint can lead to uneven wear leading to accelerated wear and tear on the cartilage

Symptoms

Pain or Crepitus with range of motion of the ankle joint

Swelling, Joint effusion

Bony Prominance

Pain with activity or early in the morning

Ankle varus/valgus deformity

Treatment

Xrays, Ultrasound, MRI,  CT imaging may be performed to get the degree of arthritic changes and too if there is any associated pathology

Conservative:

We start with Rest, Ice, Compression, Bracing, orthotics, NSAIDs, Topical pain creams and Corticosteroid injections. We also have Amniotic Cell Therapy for those that have failed most conservative therapy measures. This new injection therapy contains growth factors/stem cells to help repair the damaged cartilage.

Surgical:

Surgical intervention is reserved for those that have failed conservative therapies. Many surgical procedures exist: Removal of bony prominence, Ankle arthroscopy and debridement, Joint distraction, Repair of OCD lesions, Ankle Joint fusion and Ankle joint replacement, total talus replacement. The surgical procedure of choice is determined by your surgeon. 

Ankle Fusion VS Ankle Replacement

This surgery fixes an unstable break in your ankle. The break could be in the small bone of your lower leg, called the “fibula” or the larger bone, called the “tibia.” Sometimes, they’re both broken. Your surgeon will stabilize your bones so your ankle can heal.

This surgery fixes an unstable break in your ankle. The break could be in the small bone of your lower leg, called the “fibula” or the larger bone, called the “tibia.” Sometimes, they’re both broken. Your surgeon will stabilize your bones so your ankle can heal.

Ankle Arthritis