![]() ![]() Hallux valgus, ankle osteoarthrosis and adult acquired flatfoot deformity: a review of three common foot and ankle pathologies and their treatments. In case of fixed deformity, corrective and stabilising surgery is performed.Ĭite this article: Crevoisier X, Assal M, Stanekova K. Functional surgery is indicated for treatment in the early stages. Conservative treatment includes orthotics and eccentric muscle training. Classification is based upon the function of the tibialis posterior tendon, the reducibility of the deformity, and the condition of the ankle joint. More recently, conservative surgery (extraarticular alignment osteotomies) around the ankle has gained popularity in treating early- to mid-stage ankle osteoarthrosis.Īdult acquired flatfoot deformity is a consequence of posterior tibial tendon dysfunction in 80% of cases. Both types of surgery result in similar clinical improvement at midterm however, gait analysis has demonstrated the superiority of total ankle replacement over arthrodesis. Ankle arthrodesis and total ankle replacement are the most common surgical treatments of end stage ankle osteoarthrosis. Success of surgical treatment ranges from 80% to 95%, and complication rates range from 10% to 30%.Īnkle osteoarthrosis most commonly occurs as a consequence of trauma. Surgical treatment must be adapted to the type and severity of the deformity. Conservative treatment can alleviate pain but is unable to correct the deformity. ![]() The pathogenesis of hallux valgus deformity is multifactorial. ![]()
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