Ankle Osteoarthritis Aetiology

Herrera-Pérez, Mario; González-Martín, David; Vallejo-Márquez, Mercedes; Godoy‐Santos, Alexandre Leme; Valderrábano, Víctor; Tejero, Sergio

doi:10.3390/jcm10194489

Cited by 31 publications

(28 citation statements)

References 35 publications

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“…14 However, unlike osteoarthritis of the knee and hip, primary ankle osteoarthritis is not the most common etiology, accounting for only 7-9% of cases; secondary causes of the ankle (rheumatoid arthritis, hemochromatosis, hemophilia, and osteonecrosis) account for 13%. 6,7 As a result, a traumatic event accounts for 75-80% of all cases, with fractures around the ankle (malleolus, distal tibia, talus). 6,7 The findings of this study show that the number of patient identified with primary ankle osteoarthritis is lower than the number of patients diagnosed with secondary ankle osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

“…5 Ankle osteoarthritis is a chronic problem that affects roughly 1% of the population, with an estimated case prevalence of 30/100,000 people, and accounts for 2-4% of all osteoarthritis cases. 6 In a previous epidemiological study conducted by the University of Iowa, 639 patients with ankle osteoarthritis were identified, of which 445 (70%) were post-traumatic, 76 (12%) were rheumatic and 46 (7%) were idiopathic (primary). 7 However, according to the literature, the prevalence of osteoarthritis and the pattern of afflicted joints differed by race and ethnic groups.…”

Section: Introductionmentioning

confidence: 99%

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Profile and Frequency of One Hundred Ankle Osteoarthritis Cases in an Indonesian Tertiary Hospital

Ibrahim

Wahyudi²,

Primadhi³

2022

mkb

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Osteoarthritis is one of the most common cases in orthopedics and traumatology clinic. Ankle osteoarthritis is less common than osteoarthritis of hip and knee. Limited data and literature resulted in suboptimal treatment strategy. The purpose of this study was to describe the profile and frequency of ankle osteoarthritis at Dr. Hasan Sadikin General Hospital Bandung, a tertiary referral hospital in Indonesia. A cross-sectional descriptive observational study was conducted on all patients diagnosed with ankle osteoarthritis enrolled in the medical record database at Dr. Hasan Sadikin General Hospital Bandung, Indonesia in November 2020–November 2021. Results showed that the majority of the patients were female (52%), aged ≥60 years old (44%), graduated from senior high school education (56%), and housewives (30%). The 100 patients were proportionally distributed with most of them were categorized as suffering from secondary osteoarthritis with post-trauma predominance. From the perspective of body mass index, 85% patients were classified as above normal. As many as 76% of patients presented to the hospital in an advanced stage. With the high rate of posttraumatic ankle osteoarthritis, concerns should be given more to the ankle trauma management, as well as to the population with high body mass index. Increased health promotion for general population and health care providers is also needed to reduce the tendency of late presentation at the health care facility.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Profile and Frequency of One Hundred Ankle Osteoarthritis Cases in an Indonesian Tertiary Hospital

Ibrahim

Wahyudi²,

Primadhi³

2022

mkb

View full text Add to dashboard Cite

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“…Approximately 1% of the world’s population is affected with ankle osteoarthritis [ 1 ]. The posttraumatic etiology is the most common etiology of the end-stage ankle osteoarthritis [ 1 , 2 , 3 , 4 , 5 , 6 , 7 ]. After failure of nonoperative treatments for severe ankle arthritis [ 5 ] including bracing/immobilization, anti-inflammatories, shoe wear and activity modification, and corticosteroid injections, patients have two operative options—arthroplasty [ 8 , 9 , 10 , 11 , 12 ] and arthrodesis [ 13 , 14 , 15 , 16 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Does Concurrent Distal Tibiofibular Joint Arthrodesis Affect the Nonunion and Complication Rates of Tibiotalar Arthrodesis?

Schlickewei

Neumann

Yarar-Schlickewei

et al. 2022

JCM

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Tibiotalar arthrodesis successfully treats ankle arthritis but carries risk of nonunion. It is unclear whether concurrent distal tibiofibular arthrodesis affects tibiotalar nonunion rate. The purpose of this study is to compare tibiotalar nonunion and complication rates in patients with versus without a distal tibiofibular arthrodesis. This is a retrospective review of 516 consecutive ankle arthrodesis performed between March 2002 and May 2016. A total of 319 ankles (312 patients) underwent primary, open tibiotalar arthrodesis (227 with distal tibiofibular arthrodesis, 92 without). Primary outcome measure was nonunion rate. Secondary outcome measures were time to tibiotalar union, rate of development of post-operative deep vein thrombosis (DVT)/pulmonary embolism (PE), rate of deep wound complications, and rate of return to operating room (OR). No differences in nonunion rates were observed in both cohorts of patients with vs. without distal tibiofibular arthrodesis: 17/227 (7.5%) vs. 11/92 (12%) (p = 0.2), respectively, odds ratio was 0.74, 95% CI: 0.29~2.08 (p = 0.55). There was no difference in deep wound complications (5.3% versus 10.9%, p = 0.42), time to union (3.7 months versus 4.1 months, p = 0.72), or rate of development of DVT/PE (5.2% versus 2.2%, p = 0.18) between patients with and without distal tibiofibular arthrodesis, respectively. This is the first study directly comparing nonunion and complication rates in primary, open ankle arthrodesis with and without distal tibiofibular arthrodesis. Inclusion of the distal fibular joint with the tibiotalar fusion was not associated with a change in tibiotalar nonunion rate, time to union, wound complications, or postoperative DVT/PE.

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“…It is one of the joints bearing the largest biomechanical load; it bears approximately five times the body weight during normal walking and up to 13 times the body weight during running 2 . Ankle osteoarthritis (OA) is a constantly growing problem, and approximately 1% of the world's adult population is affected by ankle OA 3 . It is a progressive disease that often develops asymmetrically with concomitant varus or valgus deformities of the hindfoot 4 .…”

Section: Introductionmentioning

confidence: 99%

“… 2 Ankle osteoarthritis (OA) is a constantly growing problem, and approximately 1% of the world's adult population is affected by ankle OA. 3 It is a progressive disease that often develops asymmetrically with concomitant varus or valgus deformities of the hindfoot. 4 Varus malalignment tends to result from chronic lateral ligamentous insufficiency and also inflammatory joint disease.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Ilizarov Ankle Arthrodesis in the Treatment of End‐Stage Varus Ankle Osteoarthritis: A Retrospective Study

Wang

et al. 2022

Orthopaedic Surgery

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Objective: To evaluate the outcomes of Ilizarov ankle arthrodesis in the treatment of end-stage varus ankle osteoarthritis (OA).Methods: This was a retrospective study of 63 patients with varus ankle OA who underwent Ilizarov ankle arthrodesis between June 2013 and December 2018. There were 24 males and 39 females with an average age of 56.57 AE 4.45 years (range, 47-64 years). Thirty-six cases were affected on the left side, and 27 were affected on the right side. The patients' mean body mass index (BMI) was 25.18 AE 2.93 kg/m 2 . According to the modified Takakura staging criteria, there were 18 cases of stage 3b (28.57%) and 45 cases of stage 4 (71.43%). Nine patients were primary (14.29%), 48 were traumatic (76.19%), and six were caused by rheumatoid OA (9.52%). Functional assessments were performed according to the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Ankle Osteoarthritis Scale (AOS), and visual analogue scale (VAS). The tibial anterior surface angle (TAS), coronal plane tibial-talar angle (CPT), talar tilt angle (TT), deformity angle (DA), and tibial lateral surface angle (TLS) were assessed on X-ray films. Results:The average operation time was 147.84 AE 13.67 min (range, 135-168 min). The average follow-up time was 34.24 AE 8.72 months (range, 24-61 months). Bony fusion was achieved in all ankles, and the fusion time was 12.43 AE 1.99 weeks on average. The average AOFAS score at the final follow-up increased from 42.14 AE 8.66 to 80.90 AE 6.80. The average VAS score and AOS pain and disability scores at the final follow-up decreased from 7.29

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Ankle Osteoarthritis Aetiology

Cited by 31 publications

References 35 publications

Profile and Frequency of One Hundred Ankle Osteoarthritis Cases in an Indonesian Tertiary Hospital

Profile and Frequency of One Hundred Ankle Osteoarthritis Cases in an Indonesian Tertiary Hospital

Does Concurrent Distal Tibiofibular Joint Arthrodesis Affect the Nonunion and Complication Rates of Tibiotalar Arthrodesis?

Effectiveness of Ilizarov Ankle Arthrodesis in the Treatment of End‐Stage Varus Ankle Osteoarthritis: A Retrospective Study

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