John is a 25-year-old active athlete and outdoorsman who suffered a severe lateral ankle injury 5 years ago, resulting in progressive subtalar arthritis, pain, and instability of the ankle and hindfoot.His quality of life and ability to work are now restricted owing to the pain and instability despite repeated sessions in therapy.The surgical procedure of choice for John is most likely:

Question

Quizplus · Accepted Answer

Given John's young age and active lifestyle, arthrodesis (fusion) would be the best option for him as it provides a stable and reliable outcome for patients with severe subtalar arthritis, pain, and instability. Total ankle arthroplasty, although an option in older individuals with less demanding lifestyles, may not hold up to the high physical demands of John's lifestyle. The Brostrom procedure is used for treating lateral ankle instability, which is not the primary issue in John's case. The Watson-Jones procedure is used for treating fractures of the ankle, which is also not the primary issue in John's case.

John Is a 25-Year-Old Active Athlete and Outdoorsman Who Suffered