Distraction arthroplasty in osteoarthritis of the foot and ankle

Figure 5 pre-operative standing X-rays and magnetic reconnaissance imaging, in addition to intra-operative fluoroscopy of the right ankle after anterior cheilectomy and distraction. A: Anterior-Posterior (AP) X-rays demonstrates post-traumatic ankle osteoarthritis, joint space narrowing, anterior osteophyte, and flat foot deformity; B: Mortise view showing the same; C: Lateral view; D: Coronal view of the magnetic reconnaissance imaging shows medial osteochondritis dissecans lesion on the medial talar dome, as indicated by arrow; E: Sagittal view of the magnetic reconnaissance imaging showing medial osteochondritis dissecans lesion on the medial talar dome, as indicated by arrow; F: Anterior-Posterior intra-operative fluoroscopy of the right ankle after anterior cheilectomy, application of frame and distraction; G: Ankle in plantarflexion; H: Ankle in dorsiflexion with adjunctive injection of bone marrow aspirate concentrate into the ankle joint.