Surgical options for ankle osteoarthritis in Korea include joint-preserving arthroscopy, periarticular osteotomy, and joint-sacrificing procedures like fusion or replacement. Foot specialists use CT imaging to select between mobility-preserving total ankle replacement or arthrodesis for end-stage cases. Centers often employ minimally invasive techniques.
- Arthroscopic debridement: Minimally invasive keyhole surgery removes bone spurs and loose joint bodies.
- Supramalleolar osteotomy: Bone realignment shifts weight from damaged cartilage to preserve the natural joint.
- Ankle arthrodesis: Traditional fusion provides permanent pain relief by joining bones to eliminate motion.
- Total ankle replacement: Advanced implants replace various joint surfaces to maintain functional ankle mobility.
- Ilizarov fixation: External frames allow complex reconstruction for patients with significant ankle deformity.
Bookimed Expert Insight: Korea offers high specialization in minimally invasive foot surgery. Dr. Woo Kyung Kwak at Leadheal Hospital holds a FIFA Diploma in Football Medicine. This depth of training in sports trauma is ideal for patients seeking joint-preserving options like MICA surgery rather than immediate fusion. Dr. Jang Hyo Kim also brings unique expertise from an Ilizarov fellowship in Russia. This technique is often used for the most complex ankle reconstructions that standard replacements cannot address.
Patient Consensus: Patients note that choosing between fusion and replacement depends heavily on their daily activity goals. While replacement sounds appealing for movement, many find fusion a more reliable fix for severe, unstable deformities.