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Chapter 25 - Predicting and Preventing Posttraumatic Osteoarthritis of the Ankle
Book chapter

Chapter 25 - Predicting and Preventing Posttraumatic Osteoarthritis of the Ankle

Donald D. Anderson, Jason Wilken, Claire Brockett and Anthony Redmond
Foot and Ankle Biomechanics, pp.397-410
Elsevier Inc
2023
DOI: 10.1016/B978-0-12-815449-6.00036-6

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Abstract

The vast majority of ankle osteoarthritis (OA) is the sequela of a joint injury; it is therefore by definition posttraumatic OA (PTOA). In extreme cases, the precipitating trauma may be an intra-articular fracture of the ankle. The trauma may be more subtle in other cases, such as damage to stabilizing ligaments leading to chronic ankle instability. Abnormal harmful biomechanics, or pathomechanics, explains much of the PTOA risk following a joint injury of the ankle. These pathomechanics arise from joint injury-associated acute mechanical overload, chronic cumulative mechanical overload, and/or altered joint kinematics. This chapter addresses these different pathomechanical states that challenge the ankle joint and can lead to PTOA. It also offers insight into a range of potential ways in which knowledge of the pathomechanical risk can be used to mitigate or prevent PTOA of the ankle.
bracing chronic stress aberration fracture severity Joint injury pathomechanics posttraumatic osteoarthritis prevention

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