Hinged Motion Distraction Surgery for Ankle Osteoarthritis

We describe, in this article, the hinged joint distraction technique. A total of 50 patients with posttraumatic ankle osteoarthritis with a mean age of 40.0±8.5 years were included in a prospective randomized study: 25 patients in ankle debridement alone group and 25 patients in debridement and hinged ankle distraction group. The mean follow-up was 46±12 months (range: 36 to 78 mo). The clinical and radiographic outcomes were evaluated at the 6-month and 3-year follow-up using the Visual Analog Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, SF-36 quality of life score, and Takakura ankle osteoarthritis classification. Ankle arthrodiastasis is effective in reducing pain in posttraumatic ankle arthropathy and is superior to isolated synovectomy. This technique proved to be a safe (low complication rate) and effective (adequate clinical results) procedure for the treatment of ankle osteoarthritis, especially in patients younger than 45 years of age.
Source: Techniques in Foot and Ankle Surgery - Category: Orthopaedics Tags: Special Focus Source Type: research

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ConclusionsThe study demonstrated comparable postoperative functional outcome and quality of life. However, rate of postoperative revision surgery was substantially higher in ankle debridement alone group.Level of evidenceRandomized controlled study, Level I.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Conclusions: Ochronosis is a very rare disease in Asia. This paper supplies new information for study of this disease. The mechanism is still unknown right now. Further studies will be necessary.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
AbstractPost ‐traumatic osteoarthritis (PTOA) of ankle joints results in pain and reduced joint function. Ghrelin, a 28‐amino‐acid polypeptide, has been previously identified as the first cognate natural ligand that binds to the growth hormone secretagogue receptor. In the present study, ghrelin has been v alidated to exert cartilage‐protective and anti‐inflammatory effects. The current study was aimed at investigating the potential role of the levels of serum and synovial fluid (SF) ghrelin on the severity of disease in patients suffering from ankle PTOA. Ninety‐seven patients with ankle osteoa rthritis who re...
Source: BioFactors - Category: Biochemistry Authors: Tags: Research Communication Source Type: research
ConclusionsCutting guide technique group did not yield lower incidence of anterior knee pain. More outliers of lateral patellar tilt were observed in the freehand technique group. Overall, all patients in both groups had identical results in terms of patellofemoral functional capacity, clinical outcomes, and other radiographic results.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research
Primary osteoarthritis of the first metatarso-phalangeal joint (MTP-1) is common and gives clinical symptoms already in the fourth and fifth decade of life. Definition of the clinical entity is a painful dorsal collision phenomenon, a dorsal bunion, pain from shoe wear, and severely diminished dorsiflexion in the MTP-1 joint. Lateralization of the loading pattern over the lateral side of the foot and off loading of the great toe is typical and often leads to metatarsalgia. Depending on the radiographic grade of osteoarthritis (1 –4) [1], the options for surgical treatment are cheilectomy or osteotomy (grades 1–...
Source: Foot and Ankle Surgery - Category: Orthopaedics Authors: Source Type: research
Rationale: High tibial osteotomy (HTO) has been used widely for medial compartment knee osteoarthritis to correct the deformity and relieve symptoms, especially in young patients who are willing to maintain the high activity level. However, the change of bone morphology, ligament imbalance, limb malalignment, and other complications may influence the short-term outcomes of HTO. Some cases may even require conversion to TKA shortly after HTO because of the loss of correction or pain due to accelerated osteoarthritis. Patient concerns: A 43-year-old female patient presented with persistent pain of both the left knee and the...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
ObjectiveTo investigate the characteristics and the results of realignment surgery for the treatment of malunited ankle fracture. MethodsThirty‐three patients with malunited fractures of the ankle who underwent reconstructive surgery at our hospital from January 2010 to January 2014 were reviewed. The tibial anterior surface angle (TAS), the tibiotalar tilt angle (TTA), the malleolar angle (MA), and the tibial lateral surface angle (TLS) were measured. Clinical assessment was performed with use of the American Orthopaedic Foot and Ankle Society (AOFAS) scale and visual analogue scale (VAS) scores, and the osteoarthritis ...
Source: Orthopaedic Surgery - Category: Orthopaedics Authors: Tags: CLINICAL ARTICLE Source Type: research
The objective of the present study was to retrospectively evaluate the radiographic and clinical fusion rates and time to bony fusion for patients who underwent ankle arthrodesis using an anterior approach with a single column locked plate construct versus crossed lag screws. We identified 358 patients who had undergone ankle arthrodesis from January 2003 to June 2013. Of the 358 patients, 83 (23.2%) met the inclusion criteria for the present study. Of the 83 included patients, 47 received locked anterior (or anterolateral) plate fixation, and 36 received crossed lag screw constructs. The overall nonunion rate was 6.0% (n&...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
Conclusions: Our data indicate that over a decade after ankle fracture fixation, most of the patients are doing well. Despite the presence of radiographic arthritis in 63% of patients, few experience pain or have restrictions in function, and mean long-term functional outcome scores are improved when compared with scores at 1 year. Patients undergoing operative fixation of unstable ankle fractures can anticipate functional outcomes that are maintained over time. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article: OTA Highlight Paper Source Type: research
Publication date: July–August 2016 Source:The Journal of Foot and Ankle Surgery, Volume 55, Issue 4 Author(s): Jennifer L. Mulhern, Nicole M. Protzman, Amari M. White, Stephen A. Brigido Subsidence of the talar component results in significant morbidity after total ankle replacement. When recognized, prompt revision could be needed to preserve the function of the implant; however, this is not always the case. In situations in which the implant cannot be revised, tibiotalocalcaneal arthrodesis might be necessary to salvage the extremity. The purpose of the present report is to describe the use of a custom titani...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
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