The next months will be essential for us. In fact, this period is involving us in important and exciting changes, that will soon let our team work in close contact with specialists from other districts. This is giving us the opportunity to compare and share our knowledge by integrating it both in the foot/ankle and in the entire lower limb field.

On the basis of this, I’ve decided to choose “ankle arthrosis and suprasegmental malalignments” as the main topic of this month.

Here’s the planning of the articles to be presented

JACOPO: “Ankle osteoarthritis is associated with knee osteoarthritis. Conclusions based on mechanical axis radiographs“: there is a connection between “gonarthrosis” and ankle arthrosis. In particular, the bigger is the “talar tilt”, the higher is the “gonarthrosis” level; a “malalignment” of the lower limb due to a “gonarthrosis” is equivalent, in the long term, to a fracture with habits of consolidation.

LUIGI: “The influence of knee malalignment on the ankle alignment in varus and valgus gonarthrosis based on radiographic measurement“: the malalignment on the knee in varus or valgus is linked to a “malalignment” on the ankle (both in patients undergoing a TPK and the ones who are not surgical yet). This could lead to articular stress in the ankle.

RICCARDO: “Radiologic Changes of Ankle Joint After Total Knee Arthroplasty”: ankle arthrosis is connected to a “gonarthrosis” with “malalignment” and it can be influenced by its correction; this doesn’t always happen and depends on the subtalar joint rigidity and on its compensation capabilities. Furthermore, the study of the lower limb axis should not stop at the tibial-tarsal bone, but it should consist of the subtalar joint as well, by taking into account its compensating capabilities.

CRISTIAN: “Hindfoot alignment at one year after total knee arthroplasty“: in the TPKs where the mechanical axis is restored, the hindfoot alignment will improve if it starts from a valgus one. On the other hand, this will not happen if it starts from a varus one, indicating that the hindfoot valgus maintains a compensation level that the hindfoot varus has lost.

CLAUDIA: “Clinical usefulness of hindfoot assessment for total knee“: moderate knee deformities, corrected with TPK, can lead to an improvement in the hindfoot axis, whereas severe deformities, even if corrected, are not correlated with an improvement of the hindfoot axis; perhaps this may happen due to the loss of the compensation capability of subtalar joint, in comparison with the alignment defects of knee and ankle.

More excited than ever, we will leave you with this new adventure, certain that this collaboration will open us to new ideas and knowledge!