Patient case: Concurrent midfoot arthritis (1-3 TMT joints) and varus ankle arthritis
Orthopaedic Surgeon: Fellowship Trained in Foot and Ankle/Lower Extremity Trauma
To stage ? ? To stem ? ?
With many joints in the foot and ankle, patients can present with various symptoms and various treatments may be needed.
Patients are often interested in a single procedure and single recovery. Depending on the concurrent pathology, this may require significant increased time under anesthesia and increased risk. When possible, I try to accommodate. When procedures take enough time added together, the risk isn’t worth the reward, and I stage the surgeries, stacking the recovery.
This is the case of a 78 year old patient with concurrent midfoot arthritis (1-3 TMT joints) and varus ankle arthritis. I chose to tackle the midfoot fusion (hashtag#Arthrodesis) first, using OSSIO hashtag#Staples and hashtag#ThreadedTrimmableFixationNails (Although good luck finding them on XR ). Their second stage addressed the ankle arthritis with hashtag#AnkleReplacement.
Now over 6 months out from the ankle replacement, and 8 months from midfoot fusion, they are going on 3 mile walks, and steadily continuing to improve !!
To the surgeons out there, how often do you stage procedures ? ?
Who would use a stemmed implant ? ?
Texas Orthopaedic Associates - A Division of OrthoLoneStar
Managing concurrent midfoot and varus ankle arthritis presents unique surgical challenges—especially when it comes to staging procedures for stability and long-term outcomes. This real-world case highlights the importance of thoughtful planning, fixation strategies, and a tailored approach to complex deformity correction.
At Surgzon, we champion shared case learnings that refine real-world surgical decision-making.
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#FootAndAnkleCases #MidfootArthritis #AnkleArthritis #SurgicalStaging #OrthopaedicInsights #Surgzon #FollowSurgzon
