Trial reportThe Journal of bone and joint surgery. American volume2012
Motion versus fixed distraction of the joint in the treatment of ankle osteoarthritis: a prospective randomized controlled trial.
Trial report in The Journal of bone and joint surgery. American volume, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 92 citations in OpenAlex.
- Debridement and hinged motion distraction is superior to debridement alone in patients with ankle osteoarthritis: a prospective randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- Advancing Prevention and Treatment of Ankle Osteoarthritis: A Translational Clinical Roadmap from the 2026 AOFAS/Arthritis Foundation Ankle Arthritis Think Tank.Foot & ankle orthopaedics · 2026Review
- Effect of Distraction Arthroplasty in the Treatment of Moderate-to-Severe Ankle Arthritis.Orthopaedic surgery · 2024Article
- [Mid- and long-term effectiveness analysis of distraction arthroplasty in treatment of moderate to severe ankle arthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Ankle joint distraction is a promising alternative treatment for patients with severe haemophilic ankle arthropathy.Haemophilia : the official journal of the World Federation of Hemophilia · 2022Article
- Summary Report of the Arthritis Foundation and the American Orthopaedic Foot & Ankle Society's Symposium on Targets for Osteoarthritis Research: Part 2: Treatment Options.Foot & ankle orthopaedics · 2022Review
- International Foot and Ankle Osteoarthritis Consortium review and research agenda for diagnosis, epidemiology, burden, outcome assessment and treatment.Osteoarthritis and cartilage · 2022Review
- Ankle distraction arthroplasty (ADA): A brief review and technical pearls.Journal of clinical orthopaedics and trauma · 2022Article
- Imaging and Treatment of Posttraumatic Ankle and Hindfoot Osteoarthritis.Journal of clinical medicine · 2021Review
- Arthrofibrosis of the Ankle.Foot & ankle orthopaedics · 2020Review
- Ankle distraction arthroplasty for the treatment of severe ankle arthritis: Case report, technical note, and literature review.Medicine · 2020Article
- Supramalleolar osteotomy with medial distraction arthroplasty for ankle osteoarthritis with talar tilt.Journal of orthopaedic surgery and research · 2019Article
- Management of Posttraumatic Ankle Arthritis: Literature Review.Current reviews in musculoskeletal medicine · 2018Review
- Distraction arthroplasty compared to other cartilage preservation procedures in patients with post-traumatic arthritis: a systematic review.Strategies in trauma and limb reconstruction · 2018Review
- Joint Distraction in Advanced Osteoarthritis of the Ankle.The archives of bone and joint surgery · 2017Review
- Ankle joint distraction arthroplasty for severe ankle arthritis.BMC musculoskeletal disorders · 2017Article
- Functional analysis of distraction arthroplasty in the treatment of ankle osteoarthritis.Journal of orthopaedic surgery and research · 2017Article
- Intermediate-term follow-up after ankle distraction for treatment of end-stage osteoarthritis.The Journal of bone and joint surgery. American volume · 2015Article
- Joint preservation of the wrist using articulated distraction arthroplasty: a case report of a novel technique.Case reports in orthopedics · 2015Article
- Single-stage supramalleolar osteotomy for coronal plane deformity.Current reviews in musculoskeletal medicine · 2014Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundInitial reports have shown the efficacy of fixed distraction for the treatment of ankle osteoarthritis. We hypothesized that allowing ankle motion during distraction would result in significant improvements in outcomes compared with distraction without ankle motion.
methodsWe conducted a prospective randomized controlled trial comparing the outcomes for patients with advanced ankle osteoarthritis who were managed with anterior osteophyte removal and either (1) fixed ankle distraction or (2) ankle distraction permitting joint motion. Thirty-six patients were randomized to treatment with either fixed distraction or distraction with motion. The patients were followed for twenty-four months after frame removal. The Ankle Osteoarthritis Scale (AOS) was the main outcome variable.
resultsTwo years after frame removal, subjects in both groups showed significant improvement compared with the status before treatment (p < 0.02 for both groups). The motion-distraction group had significantly better AOS scores than the fixed-distraction group at twenty-six, fifty-two, and 104 weeks after frame removal (p < 0.01 at each time point). At 104 weeks, the motion-distraction group had an overall mean improvement of 56.6% in the AOS score, whereas the fixed-distraction group had a mean improvement of 22.9% (p < 0.01).
conclusionDistraction improved the patient-reported outcomes of treatment of ankle osteoarthritis. Adding ankle motion to distraction showed an early and sustained beneficial effect on outcome.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.