Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 8 , ISSUE 4 ( October-December, 2021 ) > List of Articles

Symposium: Complex Injuries Around The Ankle

Is Ankle Post-traumatic Osteoarthritis Inevitable after Malleolar Fractures?

Alexandre L Godoy-Santos, Mario Herrera-Pérez, Cesar de Cesar Netto, André Wajnsztejn, Vincenzo Giordano

Keywords : Ankle joint, Arthritis, Malleolar fracture

Citation Information : Godoy-Santos AL, Herrera-Pérez M, Netto CD, Wajnsztejn A, Giordano V. Is Ankle Post-traumatic Osteoarthritis Inevitable after Malleolar Fractures?. J Foot Ankle Surg Asia-Pacific 2021; 8 (4):180-187.

DOI: 10.5005/jp-journals-10040-1195

License: CC BY-NC 4.0

Published Online: 20-10-2021

Copyright Statement:  Copyright © 2021; The Author(s).


The tibiotalar joint is one of the most prevalent intra-articular fracture sites in the human body, resulting in high rates of post-traumatic ankle osteoarthritis (PTOA). Studies have shown multifactorial causes for PTOA and highlight the importance of three determining factors for clinical outcomes after malleolar fracture: quality of joint reduction and fracture fixation, residual ligament instability, and initial damage to joint tissues—including chondral tissue, synovial tissue, and synovial fluid. This special article summarizes recent evidence of malleolar fractures treatment, with a main focus on important factors related to improve clinical outcomes in order to avoid post-traumatic ankle osteoarthritis (OA).

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