Distraction arthroplasty in osteoarthritis of the foot and ankle

Dabash, Sherif; Buksbaum, Joshua R.; Fragomen, Austin T.; Rozbruch, S. Robert

doi:10.5312/wjo.v11.i3.145

Cited by 10 publications

(3 citation statements)

References 27 publications

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“…При последствиях повреждений голеностопного сустава внешняя фиксация применяется для артродистракции как самостоятельного метода лечения либо в комбинации с артроскопическими вмешательствами (хондропластикой, резекцией остеофитов), PRP-и SVF-терапией [23,24]. Закрытый чрескостный остеосинтез костей голени аппаратом Илизарова с фиксацией голеностопного и подтаранного суставов является самодостаточным методом лечения последствий повреждений голеностопного сустава.…”

Section: Discussionunclassified

A case series of combined Ilizarov method and suture button fixation in neglected syndesmosis injury. Case series

Sutyagin,

Burtsev

2023

N.N. Priorov Journal of Traumatology and Orthopedics

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BACKGROUND: There are known open, minimally invasive and reconstructive-plastic interventions to restore the distal intercostal syndesmosis, the postoperative rehabilitation protocols of which assume no load on the operated limb and immobilisation for 2 to 6 weeks with progressively increasing load after immobilisation with a plaster cast or orthosis. Closed percutaneous osteosynthesis of the shin bones with the Ilizarov fixator of the ankle and subtalar joints is a self-sufficient method in the treatment of ankle joint injuries accompanied by the failure of the distal intercostal syndesmosis. Neutral stable osteosynthesis with the Ilizarov fixator with a dosed volume of movement and joint decompression in combination with immersion fixators of the distal intercostal syndesmosis has not been described before. CLINICAL CASES DESCRIPTION: The article presents three clinical cases demonstrating the possibilities of neutral stable osteosynthesis with the Ilizarov fixator both as a stand-alone method in the treatment of chronic lateral foot subluxations as well as in combination with fixation of the distal intertrochanteric syndesmosis using a button fixator. The new technology consists in the combined use of the Ilizarov apparatus in the treatment of chronic lateral foot subluxations due to its repositioning capabilities in rigid foot subluxations with the creation of controlled forces and controlled degree on fixation rigidity at any stage of treatment, fixation of the joint in a functionally favourable position to create a stable and correct position of implants and suture material for a period corresponding to the formation of mature scars, decompression and mechanical unloading in order to create a favourable condition of the foot. CONCLUSION: The Ilizarov fixator in combination with dynamic systems of distal intertrochanteric syndesmosis fixation allows levelling the disadvantages of the method (restoration of relationships in the distal intertrochanteric joint by minimally invasive interventions with a minimum number of implants without compromising stability, short fixation time, which reduces the risk of complications, the requirement for outpatient follow-up, negative psychological aspects of external fixation conditions), while retaining its advantages (minimally invasive, manageable, and easy to use).

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Section: Discussionunclassified

A case series of combined Ilizarov method and suture button fixation in neglected syndesmosis injury. Case series

Sutyagin,

Burtsev

2023

N.N. Priorov Journal of Traumatology and Orthopedics

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“…Ankle arthrodesis is traditionally the surgical treatment of choice for patients in which conservative treatment or joint preserving (distraction arthroplasty) surgery has failed (5,6). For the United States of America, the total number of foot and ankle arthrodesis was 56.877 in 2006 (7).…”

Section: Introductionmentioning

confidence: 99%

Open Ankle Arthrodesis: A Retrospective Analysis Comparing Different Fixation Methods

Heuvel

Penning

Schepers

2022

The Journal of Foot and Ankle Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…This biomechanical treatment modality is based on the concept that mechanical unloading of an arthritic joint will initiate a healing response in the subchondral bone and articular cartilage. Joint distraction was initially trialed in the hip [1] and was later expanded to foot and ankle articulations [2,3]. Ankle distraction arthroplasty was introduced in 1995 by van Valburg and van Roermund in an effort to reverse some of the clinical and radiographic findings commonly seen in post traumatic ankle arthritis [4].…”

Section: Introductionmentioning

confidence: 99%

Ankle distraction arthroplasty (ADA): A brief review and technical pearls

Fragomen¹

2022

Journal of Clinical Orthopaedics and Trauma

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Distraction arthroplasty in osteoarthritis of the foot and ankle

Cited by 10 publications

References 27 publications

A case series of combined Ilizarov method and suture button fixation in neglected syndesmosis injury. Case series

A case series of combined Ilizarov method and suture button fixation in neglected syndesmosis injury. Case series

Open Ankle Arthrodesis: A Retrospective Analysis Comparing Different Fixation Methods

Ankle distraction arthroplasty (ADA): A brief review and technical pearls

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