Subtalar distraction arthroplasty with bone marrow aspirate concentrate (BMAC), preliminary results of a new joint preservation technique

Ghasemi, S. Ali; Zhang, David T; Fragomen, Austin T.; Rozbruch, S. Robert

doi:10.1016/j.fas.2020.02.009

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…When assuming relative linearity within the first 3 years, the found ARR of 4% in ankle distraction can be regarded as being non‐inferior in the first years after treatment. Additionally, our rate was in line with the study of Ghasemi et al with a 9% failure rate with a follow‐up of less than 5 years [33]. It is, however, based on the present study, not possible to extrapolate this to longer follow‐up times.…”

Section: Discussionsupporting

confidence: 92%

Low annual revision rate in ankle distraction for ankle osteoarthritis: A systematic review and meta‐analysis

Hollander,

Paget,

Dahmen

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeAnkle osteoarthritis severely impacts patients' mental and physical quality of life. Besides total ankle replacement and ankle arthrodesis, ankle distraction has been shown to be a promising alternative. The primary aim of the present study was to determine the annual revision rates (ARRs) after ankle distraction. The secondary aim was to obtain an overview of patient‐reported outcome measures and functional outcomes.MethodsA literature search until November 2023 was performed. Methodological quality was assessed using the methodological index for non‐randomised studies criteria. Primary outcome was the ARR which was log‐transformed and pooled using a random effects model. Secondary outcomes were pooled using a simplified pooling technique and included the American Orthopaedic Foot & Ankle Society Ankle‐Hindfoot Scale (AOFAS), range of motion (ROM) and post‐operative complications.ResultsThe literature search resulted in 287 articles, of which 10 studies, comprising 602 patients, were included. The patients had a pooled mean age of 47 years (range of means: 40–68) and a mean follow‐up of 35 months (range of means: 24–48). The overall methodological quality was moderate to fair. The pooled ARR after ankle distraction was 4% (95% confidence interval [CI], 3%–7%). Pooling of AOFAS showed mean 26‐point improvement (from 54 to 80). Additionally, ROM dorsiflexion improved at 5°, and the plantarflexion remained at 31°. The overall complication rate was 41% (95% CI, 35%–48%), of which 77% (95% CI, 67%–85%) were pin‐tract infections.ConclusionAnkle distraction results in an ARR of 4% (95% CI, 3%–7%) with clinically relevant improved AOFAS scores. The overall complication rate is 41% and is mainly attributable to treatable pin‐tract infections (77% of recorded complications).Level of EvidenceLevel IV, Systematic Review and Meta‐Analysis.

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Section: Discussionsupporting

confidence: 92%

Low annual revision rate in ankle distraction for ankle osteoarthritis: A systematic review and meta‐analysis

Hollander,

Paget,

Dahmen

et al. 2024

Knee surg. sports traumatol. arthrosc.

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“…This biomechanical treatment modality is based on the concept that mechanical unloading of an arthritic joint will initiate a healing response in the subchondral bone and articular cartilage. Joint distraction was initially trialed in the hip [1] and was later expanded to foot and ankle articulations [2,3]. Ankle distraction arthroplasty was introduced in 1995 by van Valburg and van Roermund in an effort to reverse some of the clinical and radiographic findings commonly seen in post traumatic ankle arthritis [4].…”

Section: Introductionmentioning

confidence: 99%

Ankle distraction arthroplasty (ADA): A brief review and technical pearls

Fragomen¹

2022

Journal of Clinical Orthopaedics and Trauma

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Injectable Orthobiologics for the Treatment of Subchondral Insufficiency Fractures of the Knee (SIFK) and Related Pathogenic Processes

et al. 2022

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Subtalar distraction arthroplasty with bone marrow aspirate concentrate (BMAC), preliminary results of a new joint preservation technique

Cited by 6 publications

References 24 publications

Low annual revision rate in ankle distraction for ankle osteoarthritis: A systematic review and meta‐analysis

Low annual revision rate in ankle distraction for ankle osteoarthritis: A systematic review and meta‐analysis

Ankle distraction arthroplasty (ADA): A brief review and technical pearls

Injectable Orthobiologics for the Treatment of Subchondral Insufficiency Fractures of the Knee (SIFK) and Related Pathogenic Processes

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