Ankle Arthritis

Le, Vu; Veljkovic, Andrea; Salat, Peter; Wing, Kevin; Penner, Murray; Younger, Alastair

doi:10.1177/2473011419852931

Cited by 12 publications

(8 citation statements)

References 128 publications

(141 reference statements)

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“…Arthritic changes of the ankle may affect up to 4% of the population, 70% of them due to ankle fractures [ 15 - 16 ]. Osteoarthritic changes following ankle fracture surgical management are still high, and articular surface involvement will accelerate the arthritic changes [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical Intervention in Neglected Ankle Fracture: A Case Report

Alsherbeeny¹,

Alhosawy²,

Almahe³

et al. 2022

Cureus

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Ankle fracture is common in active young males. Treating ankle fractures can be straightforward or much more complicated; treatment options include nonoperative management or open anatomical reduction with rigid internal fixation. Successful treatment will allow early mobilization to avoid complications. Inadequate treatment, either nonoperative or operative management, may result in malunited ankle fractures. However, malunited ankle fractures due to the delayed presentation are very rare. An 18-year-old male presented to the clinic with a history of twisting injury to his right ankle two years ago. The patient sought medical advice once after injury, applied a back slab, and was advised for operative intervention. He refused the surgical intervention and was lost in follow-up. After two years, he presented again with ankle deformity and swelling. Assessment at initial presentation includes fibula malunion, medial malleolus malunion, and widening of the ankle mortise with talar tilt. Fogel and Morrey's performance index was used to evaluate the biomechanical result postoperatively. Delayed open anatomical reduction and rigid internal fixation of malunited ankle fractures to achieve normal ankle alignment will delay the onset of future degenerative changes and minimize the chance for early arthrodesis.

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Section: Discussionmentioning

confidence: 99%

Surgical Intervention in Neglected Ankle Fracture: A Case Report

Alsherbeeny¹,

Alhosawy²,

Almahe³

et al. 2022

Cureus

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“…1 The earlier onset and diagnosis of AA disrupts productive working years in this population. 1,3 Patients with AA frequently report pain, discomfort, and an inability to carry out daily tasks such as walking. 4,5 Moreover, patients with AA have a self-reported lower quality of life compared to a healthy population, including lower general health, 6 mental health scores, 7 and restricted movement of the arthritic joint.…”

Section: Introductionmentioning

confidence: 99%

“…Ankle arthritis (AA) is a degenerative disease that results in ankle pain and impacts a person's ability to walk 1 . While millions of older adults have been diagnosed with arthritis, 2 AA is often diagnosed at an earlier age than knee or hip arthritis 1 . The earlier onset and diagnosis of AA disrupts productive working years in this population 1,3 .…”

Section: Introductionmentioning

confidence: 99%

“…While millions of older adults have been diagnosed with arthritis, 2 AA is often diagnosed at an earlier age than knee or hip arthritis 1 . The earlier onset and diagnosis of AA disrupts productive working years in this population 1,3 . Patients with AA frequently report pain, discomfort, and an inability to carry out daily tasks such as walking 4,5 .…”

Section: Introductionmentioning

confidence: 99%

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Patients with unilateral ankle arthritis have decreased discrete and time‐series limb symmetry compared to healthy controls

Stark

Queen

2023

Journal Orthopaedic Research

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Patients with ankle arthritis (AA) have side‐to‐side limb differences at the ankle and in spatiotemporal measures; however, the degree of symmetry between limbs has not been compared to a healthy population. The purpose of this study was to determine differences in limb symmetry during walking for discrete and time‐series measures when comparing patients with unilateral AA to healthy participants. Thirty‐seven AA and 37 healthy participants were age, gender, and body mass index matched. Three‐dimensional gait mechanics and ground reaction force (GRF) were captured during four to seven walking trails. GRF and hip and ankle mechanics were extracted bilaterally for each trial. The Normalized Symmetry Index and Statistical Parameter Mapping were used to assess discrete and time‐series symmetry, respectively. Discrete symmetry was analyzed using linear mixed‐effect models to determine significant differences between groups (α = 0.05). Compared to healthy participants, patients with AA had decreased weight acceptance (p = 0.017) and propulsive (p < 0.001) GRF, ankle plantarflexion (p = 0.021), ankle dorsiflexion (p = 0.010), and ankle plantarflexion moment (p < 0.001) symmetry. Significant regions of difference were found between limbs and groups throughout the stance phase for the vertical GRF force (p < 0.001), the ankle angle during push‐off (p = 0.047), the plantarflexion moment (p < 0.001), and the hip extension angle (p = 0.034) and moment (p = 0.010). Patients with AA have decreased symmetry in the vertical GRF and at the ankle and hip during the weight acceptance and propulsive portions of the stance phase. Therefore, clinicians should try a non improving symmetry focusing on changing hip and ankle mechanics during the weight acceptance and propulsive phases of gait.

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“…Osteoarthritis of the ankle joint is characterised by the progressive degeneration of articular cartilage and accounts for approximately 2% of all cases [17]. It often presents with chronic ankle pain, physical deformity, and reduced range of motion [22,28]. Approximately 70% of cases are associated with a traumatic aetiology [27].…”

Section: Introductionmentioning

confidence: 99%

Supramalleolar osteotomy for the treatment of ankle osteoarthritis leads to favourable outcomes and low complication rates at mid-term follow-up: a systematic review

Butler

Azam

Weiss

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose The purpose of this systematic review was to evaluate both the clinical and radiographic outcomes following supramalleolar osteotomy (SMO) in patients with ankle osteoarthritis, and to analyse the level of evidence (LOE) and quality of evidence (QOE) of the included studies. Methods A systematic review of the MEDLINE, EMBASE, and Cochrane Library databases was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies reporting clinical data following SMO for the treatment of ankle osteoarthritis were included and assessed. The level and quality of evidence of the included studies were also evaluated. Results Twenty-four studies with 1160 patients (1182 ankles) were included. Overall, 78.8% patients presented with posttraumatic ankle osteoarthritis. The weighted mean AOFAS score improved from 52.6 ± 9.7 (range 33.8-78.4) preoperatively to 78.1 ± 5.7 postoperatively at weighted mean follow-up of 50.4 ± 18.6 months (range 24.5-99.0). The most frequently utilised radiographic parameter was the tibial anterior surface angle, which improved from a preoperative weighted mean of 86.3° ± 5.6° (range 76.0°-102.0°) to a postoperative weighted mean of 89.9° ± 3.7° (range 84.9°-99.6°). The complication rate was 5.1% with non-union as the most commonly reported complication (1.6%). Secondary procedures were carried out in 28.2% of patients, the most common of which was implant and hardware removal (17.6%). The failure rate was 6.8%. Two studies were LOE II, 3 studies were LOE III, and 19 studies were LOE IV. The mean Modiied Coleman Methodology Score was 59.3 ± 6.6 and the mean MINORS criteria score of all the included studies was 9.5 ± 3.7. Conclusion This systematic review demonstrates good clinical and radiological outcomes, together with a low failure rate at mid-term follow-up following supramalleolar osteotomy in patients with ankle osteoarthritis. However, a moderate reoperation rate (28.2%) was reported. A low failure rate (6.8%) was reported, which must be interpreted in light of the shortcomings of the design of the included studies and a relatively short follow-up period. In addition, there is a low level and quality of evidence in the current literature with inconsistent reporting of data which underscores the need for further higher quality research to be conducted. Our review highlights that SMO may be an efective and safe procedure in the setting of early-tointermediate-stage ankle osteoarthritis.

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Ankle Arthritis

Cited by 12 publications

References 128 publications

Surgical Intervention in Neglected Ankle Fracture: A Case Report

Surgical Intervention in Neglected Ankle Fracture: A Case Report

Patients with unilateral ankle arthritis have decreased discrete and time‐series limb symmetry compared to healthy controls

Supramalleolar osteotomy for the treatment of ankle osteoarthritis leads to favourable outcomes and low complication rates at mid-term follow-up: a systematic review

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