Long Term Results of Arthrodesis for Osteoarthritis of the Ankle

Takakura, Yoshinori; Tanaka, Yasuhito; Sugimoto, Kazuya; Akiyama, Koichi; Tamai, Susumu

doi:10.1097/00003086-199904000-00023

Cited by 155 publications

(105 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The current study had no nonunions, one minor complication, and significant improvement in AOFAS ankle hindfoot scores although we expect the scores to improve as we follow these patients over the next year. However, these results compare favorably with recent studies in these regards (18,24,29,(30)(31)(32)(33)(34)(35)(36)(37) . The limitations of this study include the low sample size, the relatively short term follow-up, the retrospective nature and the fact that it is a single surgeon and single site study.…”

Section: Discussionsupporting

confidence: 86%

Tibiotarsal compression arthrodesis using a lateral locking plate

Coughlin

Nery²,

Baumfeld³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 86%

Tibiotarsal compression arthrodesis using a lateral locking plate

Coughlin

Nery²,

Baumfeld³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

“…Several clinical studies have reported a correlation between radiographic alignment of the fused ankle and functional outcome [1,5,6,13,35,46]. We believe that the favorable outcomes in our study are partly attributable to alignment.…”

Section: Discussionsupporting

confidence: 61%

“…Several studies have described residual sagittal motion between 13°and 24°over the medium to long term [1,5,32,34,46] while others have noted stiffness at the subtalar and midtarsal joints, at least in a proportion of patients, after ankle arthrodesis [4,6,7,25,46]. We concur with Takakura et al [46] that shorter periods of immobilization (about 6 weeks) after ankle arthrodesis will lead to increased range of motion at the subtalar and midtarsal joints as compared with longer immobilization times of 12 to 15 weeks [5,6,42]. The arthrodesis boot used in our study protects the ankle against varus and valgus stress with rigid struts while allowing some sagittal motion of the midfoot with partial or full weight bearing because of the flexible sole.…”

Section: Discussionmentioning

confidence: 99%

High Union Rates and Function Scores at Midterm Followup With Ankle Arthrodesis Using a Four Screw Technique

Zwipp

Rammelt

Endres

et al. 2010

Clinical Orthopaedics &Amp; Related Research

126

View full text Add to dashboard Cite

When evaluating the role of ankle arthrodesis in the treatment of severe ankle arthritis, postoperative infection, nonunion, and the development of arthritis at the adjacent joints are major issues when considering treatment alternatives. We evaluated the rate of complications, the functional outcome, and compensatory range of motion at the midtarsal joint at medium-term followup after ankle arthrodesis with four cancellous screws. We performed 94 ankle fusions in 92 patients; 12 patients were lost to followup and eight declined to participate, leaving 72 patients (76%) for evaluation. The minimum followup was 4.8 years (mean, 5.9; range, 4.8-7.8 years). No patient developed a deep infection; three patients developed postoperative hematoma which we operatively drained. Union occurred in 93 of the 94 patients (99%). The sagittal motion at the midtarsal joint averaged 24°. Secondary arthritis of the subtalar and talonavicular joints developed during the followup period in 17% and 11%, respectively.

show abstract

“…1,4,10,19,22,27,50,52 ,54,61,66 Studies with 7-to 22-year follow-up periods have shown that most individuals will develop arthritis in the subtalar and midtarsal joints. 4,10,14,20,46,56,62,73,82,84 Almost all patients have gait abnormalities after arthrodesis, 11,26,38,56,84,93 and, even if shoe modifications such as a heel lift or rocker sole are used, we find that fast walking is usually the highest activity level that individuals can expect to achieve.…”

Section: Distraction Arthroplastymentioning

confidence: 89%

Posttraumatic Ankle Arthritis: An Update on Conservative and Surgical Management

Martin¹,

Stewart²,

Conti³

2007

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

T he purpose of this manuscript is to provide current information regarding the examination, conservative treatment, and surgical treatment for individuals with posttraumatic arthritis. The 3 major categories of arthritis are inflammatory, osteoarthritis, and posttraumatic arthritis. Rheumatoid arthritis is the most common form of inflammatory arthritis; however, it does not always affect the ankle.35 It has been reported that 10% to 50% of individuals with rheumatoid arthritis have ankle involvement. 8,16,48,60,83 The mechanical properties of the tibiotalar articular cartilage make it durable and efficient at equalizing stress. These properties may reduce the risk of osteoarthritis at the ankle. 7,37,75,77,80,86 Posttraumatic arthritis is more common than osteoarthritis at the ankle. Saltzman et al 71 reported that osteoarthritis and posttraumatic arthritis accounted for 12% and 70% of ankle arthritis cases, respectively.

show abstract

Long Term Results of Arthrodesis for Osteoarthritis of the Ankle

Cited by 155 publications

References 21 publications

Tibiotarsal compression arthrodesis using a lateral locking plate

Tibiotarsal compression arthrodesis using a lateral locking plate

High Union Rates and Function Scores at Midterm Followup With Ankle Arthrodesis Using a Four Screw Technique

Posttraumatic Ankle Arthritis: An Update on Conservative and Surgical Management

Contact Info

Product

Resources

About