Wednesday, 28 March 2012

ARTHRITIS OF THE ANKLE - DR KHAIRUL FAIZI MOHAMMAD


Weight bearing Xrays of a patient with arthritis of the ankle


Weight bearing Xrays of the ankle with arthritis


Swollen and deformed ankle with arthritis


TOTAL ANKLE REPLACEMENT


TOTAL ANKLE REPLACEMENT



Osteoarthritis (also known as arthritis) of the ankle is a condition which results in damage and loss of the cartilage which lines the bones of the tibia and talus.  The smooth characteristics of the cartilage is loss which wil subsequently lead to inflamation and deformity. 


SYMPTOMS OF ANKLE ARTHRITIS

The main symptoms of ankle arthritis are pain, stiffness, swelling and deformity.  The severity of the pain will depend on the severity of the arthritis.  It may occur with excessive amounts of activities in the early stages and with every step taken when it is severe. 


CAUSES OF ANKLE ARTHRITIS

The main cause of ankle arthritis is previous trauma to the ankle joint such as ankle fractures and repeated ankle sprains.  The ankle is a small joint compared to the hip and knee.  It receives a tremendous amount of weight with each step especially during running. 

Varying deformities in the knee and hip will also cause malalignment of the leg.  This will also accelerate ankle arthritis.

Read more about ankle sprains here:

http://footandankleproblems.blogspot.com/2011/06/ankle-instability-severe-sprains-dr.html


DIAGNOSIS OF ANKLE ARTHRITIS

The diagnosis of ankle arthritis is clinicaly made by your Foot and Ankle Surgeon and is aided by investigations like plain Xrays, CT scans. and sometimes MRI.


TREATMENT OF ANKLE ARTHRITIS

The treatment of ankle arthritis can be divided into 2: Non surgical treatment and Surgical Treatment.

1.  Non Surgical Treatment

Non surgical treatment of ankle arthritis involves anti inflammatory pain relief, shoewear modification, physiotherapy and injections of viscosupplements.  I personally do not inject corticosteroids into the joint.

http://footandankleproblems.blogspot.com/2009/01/injections-into-ankle.html


2.  Surgical Treatments

Surgical treatments of ankle arthritis can include keyhole surgery (arthroscopy of the ankle joint), realignment surgery, fusion surgery and  Total Ankle Replacements (TAR). 

http://footandankleproblems.blogspot.com/2009/08/anterior-ankle-arthroscopy-dr-khairul.html




If you have symptoms of ankle arthritis or questions regarding ankle arthritis, please contact you Consultant Orthopaedic Foot and Ankle Surgeon:



Dr Khairul Faizi Mohammad
Head, Consultant Orthopaedic Foot and Ankle Surgeon
Kuala Lumpur Foot Ankle Clinic (KLFAC)
Pantai Hospital
(CHERAS, KUALA LUMPUR and AMPANG)

03-91322022 ext 3333 (Mrs Vijay for appointents)

3 comments:

  1. As salam Dr Khairul.

    Berapa lama untuk pesakit boleh berjalan semula selepas membuat TAR.Adakah pesakit akan merasa sakit selepas membuat pembedahan.

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  2. This article is very interesting. Thank you for sharing it with everyone. I think that your blog will be much loved and they will visit it often. DenverOrtho

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  3. Is there any diet requirements to treat arthritis in the ankle. It is very painful and swollen and difficulty in walking! Have rubbed it with tiger balm and also voltaren, and wear an ankle circular support bandage. I cannot take any anti-inflammatory pills as I take blood pressure medication. How long will this last? (I believe I brought it on by wearing scuffs which were too right around the ball of my foot and kept on pushing my foot in them (had no support around my ankle). It is too swollen to wear my normal strappy sandals. I wear my closed in shoes around the house now - but suffer from hot feet!!! Vicious circle.

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