Ankle osteoarthritis is a condition that causes pain and stiffness in the ankle joint. Traditional treatments like joint fusion can limit mobility. An alternative procedure called ankle distraction arthroplasty has been gaining some traction, but how well does it hold up in the long term? 

A recent study by Greenfield et al. (2019) investigated this very question. They conducted a survival analysis of ankle distraction arthroplasty for ankle osteoarthritis. Their findings suggest that this procedure may be a viable option for some patients. 

Key takeaways from the study: 

  • Ankle distraction arthroplasty showed promising results, with an 84% survival rate at 5 years. This is better than some previously reported outcomes. 
  • The study also identified factors that can influence the success of the procedure. Avascular necrosis of the talus (bone death) was associated with a lower survival rate. Additionally, sex may play a role, with the study suggesting potential gender differences in long-term outcomes. 

What this means for patients: 

Ankle distraction arthroplasty offers a potential option for preserving joint mobility in patients with ankle osteoarthritis. This study provides valuable data for surgeons and patients to consider when making treatment decisions. 

Important to note: 

  • This was a retrospective study, meaning researchers analyzed past data. More robust research designs are needed to confirm these findings. 
  • The study involved a relatively small group of patients. Larger studies are necessary to draw more definitive conclusions. 

Overall, this research suggests that ankle distraction arthroplasty may be a valuable tool for treating ankle osteoarthritis. However, more research is needed to solidify its place as a standard treatment option. 

ReferenceGreenfield, S., Matta, K. M., McCoy, T. H., Rozbruch, S. R., & Fragomen, A. (2019). Ankle distraction arthroplasty for ankle osteoarthritis: a survival analysis. Strategies in trauma and limb reconstruction, 14(2), 65.,and%2037%25%20within%205%20years


This blog is for informational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional to discuss your individual treatment options.

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Common Types Of Foot Surgeries Out There

Foot surgeries are very intricate, and not many people know that there are different types of them. In fact, this is one of the most complex areas of the human body. It is easy to imagine that a lot of gut and stability of the hand is required for these surgeries. There are different types of surgeries that accomplished doctors like Gordon Slater perform. This Australian orthopedic surgeon is an MBBS FRACS AOrthoA, and an expert in the field of Minimally Invasive Foot Surgery. This is specifically linked to the correction of bunions and orthopedic trauma. His interests include ankle surgery, arthroscopy, foot surgery, and sports injuries. He has been active since 1988 and has his own private clinical practice in Sydney and Albury.

Let’s dive into the types of foot surgeries that orthopedics perform.

Metatarsal foot surgery

The metatarsal bones are a collection of five long bones present in the foot. You will find them in between the tarsal bones, and the toes’ phalanges. The reason why you would need this surgery would be when the small joints in your forefoot have become arthritic. Arthritis will then lead to inflammation of the joint lining. This results in the MTPJ joint dislocation and turns into pain and discomfort. A lot of people who have suffered from this have reported that it feels like they are walking on pebbles.

Bunions foot surgery

Bunions usually affect women because of their choices in footwear. High heels are usually the major reason for this sort of problem. Bunions occur at the base of the big toe. They are bony lumps, which result from hallux valgus. The hallux valgus causes the big toe joint to become deformed as it leans towards the other toes. This is what really causes bunions. Though the surgery for bunions is not all that complicated, it is still worth operating on immediately

Hammer foot surgery

Hallux valgus does not only cause issues like bunions. They also give way to hammertoes. The toes become permanently bent and also become clawed and deformed. We call this hammertoe, and as evident by the description, they are extremely painful when the individual tries to walk. Surgeries like arthroplasty or arthrodesis are usually used to repair this condition. This requires the deformed joint to be removed from between the toes.

Plantar fasciitis foot surgery

This is when the tissue from the heel to toe, becomes inflamed. This tissue is presently exactly where the toes join the heel. Usually, this situation does not require any surgery, but in worse cases, the doctor will release the plantar fascia from the heel bone.

These foot conditions are pretty common in individuals, as our daily lifestyle starts to take a toll on us. This is why it is always best to head to the doctor as soon as you can when you discover the first symptoms of these issues.

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Dr. Gordon Slater

Dr. Slater is one of the first foot and ankle surgeons in Australia to adopt minimally invasive surgical techniques. He routinely uses MIS to treat a range of conditions, including bunions.

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Dr Gordon Slater is a highly-skilled surgeon specialising in foot and ankle conditions and sports injuries. Dr Slater is one of the first foot and ankle surgeons in Australia to adopt minimally invasive surgical techniques. He routinely uses MIS to treat a range of conditions, including bunions. MIS  has many advantages including shorter operating times, reduced post-operative pain, reduced risk of infection, minimal scarring and better cosmetic outcomes.

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