Cartilage Lesions of the Ankle by Gian Luigi Canata & C. Niek Dijk

Author:Gian Luigi Canata & C. Niek Dijk
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

Mechanical malalignment overloads either the medial or lateral boarders of the talus depending if there is tibial or hindfoot varus or valgus [8]. This may affect healing of a defect or retard surgical repair. OCLs in the knee and the ankle have been shown to regress with high tibial realignment osteotomy or calcaneal osteotomies [9]. Similarly, ankle fracture malunion increases the contact pressures [10]. Ankle instability repetitively increases focal load and OLT propagation [11]. This should be addressed in the treatment plan when applicable (Fig. 6.2).

Fig. 6.2Varus malalignment

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