ArticleJournal of orthopaedic surgery and research2017
Functional analysis of distraction arthroplasty in the treatment of ankle osteoarthritis.
Article in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 39 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
- Psychological status and clinical outcomes in ankle arthrodesis: preoperative predictors and postoperative changes.Frontiers in psychiatry · 2026Article
- Semi-Automatic MRI Segmentation for Assessing Cartilage Volume Changes After Ankle Distraction Arthroplasty Using the Ilizarov Frame for Ankle Osteoarthritis.Sultan Qaboos University medical journal · 2025Article
- Effect of Distraction Arthroplasty in the Treatment of Moderate-to-Severe Ankle Arthritis.Orthopaedic surgery · 2024Article
- Harnessing joint distraction for the treatment of osteoarthritis: a bibliometric and visualized analysis.Frontiers in bioengineering and biotechnology · 2023Article
- [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
- Comparisons between ankle distraction arthroplasty and supramalleolar osteotomy for treatment of post-traumatic varus ankle osteoarthritis.BMC surgery · 2022Article
- Effect analysis of iliac bone autografting for Hepple V osteochondral lesions of the talus.Journal of orthopaedic surgery and research · 2022Article
- Ankle distraction arthroplasty (ADA): A brief review and technical pearls.Journal of clinical orthopaedics and trauma · 2022Article
- Multipotential stromal cells in the talus and distal tibia in ankle osteoarthritis - Presence, potency and relationships to subchondral bone changes.Journal of cellular and molecular medicine · 2021Article
- Ankle distraction arthroplasty for the treatment of severe ankle arthritis: Case report, technical note, and literature review.Medicine · 2020Article
- Down-regulation of protease-activated receptor 2 ameliorated osteoarthritis in rats through regulation of MAPK/NF-κB signaling pathway in vivo and in vitro.Bioscience reports · 2020Article
- Effectiveness of distal tibial osteotomy with distraction arthroplasty in varus ankle osteoarthritis.BMC musculoskeletal disorders · 2020Article
- Supramalleolar osteotomy with medial distraction arthroplasty for ankle osteoarthritis with talar tilt.Journal of orthopaedic surgery and research · 2019Article
- Early and mid-term results of transarticular external fixation in the treatment of supination-external rotation type IV equivalent ankle fractures.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2018Article
- Ankle Distraction Arthroplasty for Ankle Osteoarthritis: A Survival Analysis.Strategies in trauma and limb reconstructionArticle
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnkle joint distraction arthroplasty (AJDA) is an alternative surgical procedure for the management of moderate to severe ankle osteoarthritis. However, the benefit of this procedure and failure relative factors are still in debate. The purpose of the current study was to evaluate the functional outcomes of AJDA in treatment of moderate to severe ankle OA and to evaluate the relative factors correlated with treatment failure.
methodsForty-six van Dijk stages II and III ankle osteoarthritis patients were included. Fifteen males and 31 females with a mean age of 54.8 (range, 42-71) years were followed with a mean of 42.8 (range, 24-68) months. The Ankle Osteoarthritis Scale (AOS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score were used for functional outcome evaluation. The talar tilt (TT) angle and ankle joint space distance (AJSD) were evaluated. The risk ratio (RR) was calculated for each potential failure relative factor.
resultsThe AOS and AOFAS scores were significantly improved at the last follow-up time (P < 0.01). The AJSD was improved in 61% of patients and with a significant improvement compared with the preoperative conditions (P < 0.01). The TT angle and range of motion reached no significant difference. The failure rate was 21.7%. Patients with large TT (≥5°) angle (RR = 3.81, 95% CI 1.28-11.33, P = 0.02) and obesity (RR = 3.58, 95% CI 1.30-9.89, P = 0.01) were found to have positive correlation with failure. No correlation was found between failure and gender, or overweight, or side, or age, or type and stage of OA, or pin infection.
conclusionsThe current study confirmed the early functional outcomes of ankle distraction arthroplasty. However, this procedure still has a relatively high failure rate, especially for those obese patients and patients with large TT angles.
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