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Il s’agit le plus souvent de séquelles de lésions traumatiques : fracture cheville, fracture calcanéum (talon) , entorses de chevilles à répétitions.",{"type":132,"children":141},[142],{"text":143,"type":130},"Cette arthrose peut être très longtemps bien tolérée avec un traitement médical simple, parfois complété par des infiltrations",{"type":132,"children":145},[146],{"text":135,"type":130},{"type":132,"children":148},[149],{"text":150,"type":130},"Cependant à plus long terme, le seul traitement véritablement efficace est la réalisation d’une arthrodèse, c’est-à-dire un blocage de l’articulation douloureuse en la faisant fusionner. L’efficacité est habituellement excellente sur la douleur, mais retentit sur la souplesse de la cheville et majore les contraintes sur les articulations sus et sous-jacentes.",{"type":126,"level":127,"children":152},[153],{"text":154,"type":130},"Arthrodèse cheville",{"type":132,"children":156},[157],{"text":135,"type":130},{"type":132,"children":159},[160],{"text":161,"type":130},"L’arthrodèse la plus souvent réalisée est celle de l’articulation sous-talienne, dans les suites des séquelles du calcanéum.",{"type":132,"children":163},[164],{"text":165,"type":130},"La démarche du patient reste sensiblement normale sur terrain plat, mais difficile sur terrain accidenté. L’enraidissement de la cheville est limité d’autant plus que l’articulation lésée est déjà souvent très raide.",{"type":132,"children":167},[168],{"text":169,"type":130},"D’un point de vue pratique, le patient est immobilisé pour 2 mois par une botte sans appui.",{"type":132,"children":171},[172],{"text":135,"type":130},{"type":132,"children":174},[175],{"text":176,"type":130},"Dans l’arthrose de l’articulation tibio talienne (le plus souvent après fracture de cheville ou une instabilité ) ,il faut alors réellement « bloquer » la cheville. A fortiori lorsque les 2 articulations sont touché","2024-09-03T14:37:11.019Z","2024-09-03T14:37:12.038Z","2024-09-03T14:37:12.036Z",null,[182,185,188,192,196,199,203,207,210,214,218,222,225],{"type":126,"level":127,"children":183},[184],{"text":32,"type":130},{"type":132,"children":186},[187],{"text":135,"type":130},{"type":132,"children":189},[190],{"text":191,"type":130},"Ankle osteoarthritis is the breakdown of cartilage, causing chronic pain that can sometimes be severely disabling. It most often results from traumatic injuries, such as ankle fractures, calcaneal (heel bone) fractures, or recurrent ankle sprains.",{"type":132,"children":193},[194],{"text":195,"type":130},"This osteoarthritis can be well tolerated for a long time with straightforward medical management, sometimes supplemented by injections.",{"type":132,"children":197},[198],{"text":135,"type":130},{"type":132,"children":200},[201],{"text":202,"type":130},"However, in the longer term, the only genuinely effective treatment is arthrodesis, meaning fusion of the painful joint. It is usually highly effective in relieving pain, but reduces ankle mobility and increases mechanical stress on the joints above and below it.",{"type":126,"level":127,"children":204},[205],{"text":206,"type":130},"Ankle Arthrodesis",{"type":132,"children":208},[209],{"text":135,"type":130},{"type":132,"children":211},[212],{"text":213,"type":130},"The arthrodesis most often performed is fusion of the subtalar joint, following the consequences of a calcaneal fracture.",{"type":132,"children":215},[216],{"text":217,"type":130},"Walking remains largely normal on level ground, but becomes more difficult on uneven terrain. 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