Ankle Surgery
A 58-year-old man with post-traumatic ankle arthritis presents with severe, debilitating ankle pain unresponsive to conservative measures. He has a BMI of 28, is a non-smoker, and his subtalar joint appears radiographically normal. After discussing options including total ankle arthroplasty and arthrodesis, he elects to proceed with ankle fusion. Regarding ankle arthrodesis:
Mark each as TRUE or FALSE
Indications for ankle arthrodesis include end-stage ankle arthritis (post-traumatic most common, pri...
The optimal fusion position is neutral dorsiflexion (0-5 degrees), 5-10 degrees of external rotation...
Ankle arthrodesis should be performed in 20 degrees of equinus for optimal gait; internal rotation i...
Surgical approaches include anterior (allows visualization of both medial and lateral gutters), late...
Union rates are 85-95% with modern techniques; risk factors for non-union include smoking (single st...
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Click T (True) or F (False) for each option