Management of Posttraumatic Ankle Arthritis: Literature Review

Ewalefo, Samuel O.; Dombrowski, Malcolm E.; Hirase, Takashi; Rocha, Jorge Luis; Weaver, Mitchell R.; Kline, Alex J.; Carney, Dwayne; Hogan, MaCalus V.

doi:10.1007/s12178-018-9525-9

Cited by 45 publications

(41 citation statements)

References 115 publications

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“…Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden [1]. Disabling or even debilitating functional impairment are the main symptoms of end-stage ankle arthritis.…”

Section: Introductionmentioning

confidence: 99%

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Mok¹,

He²,

Panneerselvam³

et al. 2020

Preprint

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Background: Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden . Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods: For the systematic review, a literature search was conducted in four English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Two prospective cohort studies and 8 retrospective cohort studies, enrolling a total of 548 patients with ankle arthritis, were included. Result: For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion: In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, shorter length of hospitalisation and better functional improvement at 1 year than open surgery.

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Section: Introductionmentioning

confidence: 99%

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Mok¹,

He²,

Panneerselvam³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Malunion and intra-articular fractures are the common causes. Flatfoot in the adult is a predisposing factor of idiopathic valgus osteoarthritis and varus osteoarthritis, or supramalleolar abnormality 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Treatments include conservative bracing, pain relief injection, while surgeries include tibial and fibular osteotomy, arthroscopy and ankle arthroplasty or ankle arthrodesis 2 . Arthroplasty has a good outcome but not suitable for patients under 50 years old.…”

Section: Introductionmentioning

confidence: 99%

Low Tibial and Fibular Osteotomy for Treating Varus-Type Post-Traumatic Ankle Osteoarthritis: A Case Report

et al. 2020

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In Indonesia, arthrodesis becomes a choice of treatment in the absence of ankle arthroplasty implants for young adults. Arthrodesis on ankle osteoarthritis (OA) often leads to functional impairment. Low tibiofibular osteotomy is an alternative and it has been known to be the preferable option for those in the productive-ages. A 22-year-old male with a previous history of a motorbike accident, operated eight years ago, came with persistent pain on the left ankle that has worsened over the years. Plain radiography with a tibial-ankle surface angle (TAS) of 74 o (normally 88 o -93 o ) indicated varus deformity. Osteotomy was performed on distal tibia above the syndesmotic joint, as well as on the middle third of fibula. Open wedge osteotomy of the tibia was corrected until the normal TAS angle was reached by fluoroscopy. Cortical allograft was used to fill the osteotomy gap. Instrumentation was performed using a clover leaf® plate with 6 screws insertion for fixation stability. All results were satisfactory. Twelve weeks post-operatively, the patient was performing activities normally. Four-month post-operative radiological evaluation showed fusion of graft and the angle of TAS of 89°. Post-operative functional assessment using the American Academy of Orthopaedic Surgeon (AAOS) Foot and Ankle Measurement (FAM) questionnaires showed significant improvement (pre 89, post 38).

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“…Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden [1]. Disabling or even substantial functional impairment are the main symptoms of end-stage ankle arthritis.…”

Section: Introductionmentioning

confidence: 99%

Open versus arthroscopic ankle arthrodesis: A systemic review and meta-analysis

Mok¹,

He²,

PANNEERSELVAM³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods: For the systematic review, a literature search was conducted in four English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Two prospective cohort studies and 8 retrospective cohort studies, enrolling a total of 548 patients with ankle arthritis, were included. Result: For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion: In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, shorter length of hospitalisation and better functional improvement at 1 year than open surgery.

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Management of Posttraumatic Ankle Arthritis: Literature Review

Cited by 45 publications

References 115 publications

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Low Tibial and Fibular Osteotomy for Treating Varus-Type Post-Traumatic Ankle Osteoarthritis: A Case Report

Open versus arthroscopic ankle arthrodesis: A systemic review and meta-analysis

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