Tahir Öğüt Professor of Orthopedics and Traumatology | Doctor of Foot Ankle Surgery

  • Arthritis of the ankle
  • Problems of the toe
  • Flat footedness in adults
  • Cartilage lesions
  • Ankle prosthesis
  • Gait disorders
  • Morton neuroma
  • Hallux valgus

There are 28 bones and more than 30 joints in the foot. There are muscles and ligaments that connect these bones together. Arthrisis is a disease occurs in one or more joints that affects walking and balance.


The type of pain, how it is increased, when, the continuity, the location and the duration are important. X-ray will give detailed information about the joint spacing and bone structure. MR and CT may be required for further investigation.


The most frequent problem of the toe is Hallux Valgus, which is known as the bending of the toe and forming bunion. Sometimes it goes so far that the toe bends under the second finger. It is more common in women.


If the patient does not respond to non surgical methods, surgical treatment is planned. Treatment varies according to the severity and location of the affected joint. There are 3 different surgical methods;

  • Arthroscopic debridement
  • Arthrodesis
  • Arthroplasty

Flat footedness is not just congenital. It can also develop later as a result of rheumatic disease, excessive weight and / or excessive use of inappropriate shoes.


Ankle Prosthesis

Immobilization (arthrodesis) of the ankle has always been regarded as the gold standard In treatment of advanced calcification. Nowadays, preferance of ankle prosthesis is about to take the first place over ankle arthrodesis.

Criteria for patient selection for Ankle Prosthesis (AP) are not uniform and the discussion is ongoing. There are certain rules to be observed and adhered to when deciding, and the surgeon should know and digest them and guide them. I am inclined to leave the decision to the patient after I have informed the patient in detail in my practice.


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