Clinical and Radiological Mid-to-Long-term Outcomes Following Ankle Arthrolysis

Rohlfing, Freya-Isabelle; Wiebking, Ulrich; O’Loughlin, Padhraig F.; Krettek, Christian; Gaulke, Ralph

doi:10.21873/invivo.11507

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Lower AOFAS scores confirm poor functional performance in daily activities, quality-of-life, and movement (38). Whereas Rohlfing et al could not find any correlation between BMI and AOFAS or VAS in their 66.9 (range=4-186) months follow-up study of 51 patients with ankle arthrolysis (39). Future studies should examine these effects in greater cohorts and to provide more detailed analysis.…”

Section: Discussionmentioning

confidence: 95%

Clinical and Radiological Mid- to Long-term Results Following Triple Arthrodesis

Maier

Wiebking

O’Loughlin

et al. 2023

In Vivo

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Background/Aim: Triple arthrodesis (TA) is a common procedure for stabilization of painful and unstable hind foot deformities. The aim of the study was to analyze postoperative changes in function and pain following isolated TA based on clinical outcomes, radiological findings, and pain scores. The study also considered economic aspects, such as the inability to work, before and after surgery. Patients and Methods: This was a singlecenter retrospective study, with a mean follow-up of 7.8 (range=2.9-12.6) years, of isolated triple fusions was performed. , Foot Function Index (FFI), American Orthopedic Foot and Ankle Society Score (AOFAS) were analyzed. Clinical examination and standardized radiographs pre-and post-surgery were evaluated. Results: All 16 patients were very satisfied with the outcome after TA. In patients with secondary arthrosis of the ankle joint, AOFAS scores were significantly lower (p=0.012), whereas arthrosis in tarsal and tarsometatarsal joints did not affect the score. Body mass index (BMI) was associated with lower AOFAS, FFI-pain, FFI-function and increased hindfoot valgus. The non-union rate was approximately 11%. Conclusion: TA leads to good clinical and radiological outcomes. None of the study participants reported a deterioration in their quality of life after TA. Two

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Section: Discussionmentioning

confidence: 95%

Clinical and Radiological Mid- to Long-term Results Following Triple Arthrodesis

Maier

Wiebking

O’Loughlin

et al. 2023

In Vivo

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“…The ankle arthrodesis or fusion has represented, in the past and still now in determined cases, the surgical gold standard for the ankle end-stage osteoarthritis [15,16]. After an ankle arthrodesis, even at 20 years of follow-up, about 90% of satisfaction was reported, but at the same time some studies have shown that in the years following the surgery, the patient may develop a degenerative arthropathy of the adjacent homolateral joints [17][18][19][20]. In recent years, the total ankle replacement has gained considerable popularity but, unlike the knee and hip prosthesis, it is relatively "young".…”

Section: Discussionmentioning

confidence: 99%

Mobile-Bearing Total Ankle Replacement In Vivo Kinematic Assessment: A Prospective Study Protocol

Caravelli

Bragonzoni

Vocale

et al. 2022

JCM

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Total ankle prosthesis as a surgical solution in the case of end-stage osteoarthritis has seen a considerable increase in the last two decades. This study protocol arises from the need to understand the in vivo kinematics of mobile-bearing, flat tibial component total ankle replacement, evaluating the real range of motion and the reciprocal relationships between the components during normal motor tasks through the use of model-based radio-stereometric analysis (MB-RSA). In addition, pre- and post-operative evaluation of walking kinematics with inertial motion sensors, proprioception through a dedicated workstation, and clinical outcomes are discussed. We expect that with the results based on our study protocol, we will be able to improve future prosthetic designs and validate the setup of MB-RSA, as well as to understand “how an ankle prosthesis moves” once implanted in the patient.

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“…Die arthroskopische Arthrolyse wird für die Behandlung einer Bewegungseinschränkung sowohl am Schultergelenk ("frozen shoulder" [11]) als auch am Kniegelenk bei Arthrofibrose [12] und am Sprunggelenk (arthrotisch induzierte Bewegungseinschränkung [13]…”

Section: Arthroskopische Arthrolyseunclassified

Operative Therapie der Arthrofibrose des Kniegelenks

Jagodzinski¹,

Traut

2022

Unfallchirurgie

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ZusammenfassungDie Arthrofibrose des Kniegelenks ist eine schwerwiegende Komplikation nach Trauma und Operation, da die Funktion des Gelenks häufig dauerhaft beeinträchtigt wird. Es werden nach wie vor frühzeitige Mobilisierungstechniken und die Anästhesie eingesetzt, ohne dass die zugrunde liegenden Prozesse ausreichend aufgeklärt wurden. Während die Frühphase der Arthrofibrose gut auf konservative Maßnahmen zur Schmerzreduktion und zur Wundheilungsregulation anspricht, ist in der Spätphase häufig straffes kollagenes Narbengewebe vorhanden, das die Beweglichkeit dauerhaft einschränkt. In dieser Phase ist eine Verbesserung der Beweglichkeit ohne chirurgische Maßnahmen in der Mehrzahl der Fälle aussichtslos. Bei einer chirurgischen Therapie sollte zwischen der lokalisierten (zumeist sekundären) Arthrofibrose (z. B. Kreuzbandoperation) und einer generalisierten Arthrofibrose (primär, in der Mehrzahl der Fälle nach einer Knietotalendoprothese [Knie-TEP]) unterschieden und die Behandlung entsprechend geplant werden. Begleitende pathologische Veränderungen (Transplantatposition, Instabilität der TEP, Implantatverschleiß, „Low-grade“-Infektion, patellofemorale Instabilität oder „maltracking“, Patella baja) müssen bei der Behandlung berücksichtigt werden. Eine multimodale Begleitbehandlung (Physiotherapie, Schmerztherapie, Psychosomatik) ist zur Sicherung des Behandlungserfolgs notwendig.

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Clinical and Radiological Mid-to-Long-term Outcomes Following Ankle Arthrolysis

Cited by 3 publications

References 20 publications

Clinical and Radiological Mid- to Long-term Results Following Triple Arthrodesis

Clinical and Radiological Mid- to Long-term Results Following Triple Arthrodesis

Mobile-Bearing Total Ankle Replacement In Vivo Kinematic Assessment: A Prospective Study Protocol

Operative Therapie der Arthrofibrose des Kniegelenks

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