Evidence-Based Rationale for Ankle Cartilage Allograft Replacement: A Systematic Review of Clinical Outcomes

Johnson, Pierce; Lee, Daniel K.

doi:10.1053/j.jfas.2014.12.008

Cited by 10 publications

(11 citation statements)

References 25 publications

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“…However, there is limited evidence in the literature to support one form of fixation over another. In a systematic review assessing osteochondral bulk allograft transplantation, Johnson and Lee 12 identified 15 publications reporting the outcomes of bulk allograft transplantation of the ankle. Metallic screws were used in 59.7% of cases, bioabsorbable fixation in 16.2% of cases, and a combination of fixation in 24.1% of cases.…”

Section: Discussionmentioning

confidence: 99%

Osteochondral Allograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Osteochondral Allograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

et al. 2018

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“…As recent reviews have shown, unipolar allograft procedures generally have a better outcome, fewer complications, and a clearly lower failure rate in comparison to bipolar allograft transplantation of the ankle. 15,25 However, our study population was mixed and mainly included bipolar OCA transplantation for the revision procedure (80%) and should therefore rather be compared to results of primary bipolar OCA procedures.…”

Section: Discussionmentioning

confidence: 99%

Long-term Follow-up of Revision Osteochondral Allograft Transplantation of the Ankle

et al. 2018

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“…32 Factors that which adversely influence allograft survivorship include high body mass index and persistent deformity of more than 3 of varus/valgus. 33 At the current time, there is insufficient evidence to support total allograft replacement of the ankle to treat OA, and the procedure has fallen out of favour.…”

Section: Operative Managementmentioning

confidence: 99%

Osteoarthritis of the ankle

Ieong¹,

Keith²,

Robinson³

2020

Orthopaedics and Trauma

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Ankle arthritis is a debilitating condition. Primary ankle joint osteoarthritis is much rarer than hip or knee arthritis. The majority of cases are post-traumatic secondary to previous articular trauma or ligamentous instability. Treatment methods available are guided by disease severity and the patient's functional demands. Weight loss, activity modification, the wearing of an ankle brace or high-topped lace-up boots and orthoses should be the first line of treatment. Joint-sparing procedures such as arthroscopic debridement, supramalleolar osteotomy and distraction arthroplasty have been trialled with low levels of supporting evidence. The demand for joint preservation has led to the development of total ankle allografting procedures, but these have fallen out of favour. Despite advancements, the gold standard for end-stage arthritis remains arthrodesis, although evidence for total ankle arthroplasty in certain groups of patients is increasing. The current third-generation implants have improved survivorship although their results remain inferior to arthroplasty of the hip and knee. There is currently a UK randomized control trial of ankle replacement versus arthrodesis under way as well as several national joint registries, which will hopefully better define those patients who will gain most benefit from replacement as opposed to fusion.

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Evidence-Based Rationale for Ankle Cartilage Allograft Replacement: A Systematic Review of Clinical Outcomes

Cited by 10 publications

References 25 publications

Osteochondral Allograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Osteochondral Allograft: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Long-term Follow-up of Revision Osteochondral Allograft Transplantation of the Ankle

Osteoarthritis of the ankle

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