ArticleStrategies in trauma and limb reconstruction
Ankle Distraction Arthroplasty for Ankle Osteoarthritis: A Survival Analysis.
Article in Strategies in trauma and limb reconstruction. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 18 citations in OpenAlex.
- Total Ankle Replacement Outcomes in Patients With Prior Distraction Arthroplasty.Foot & ankle orthopaedics · 2025Article
- 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
- [Ankle arthritis: joint-preserving surgery and total ankle arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Ankle distraction arthroplasty (ADA): A brief review and technical pearls.Journal of clinical orthopaedics and trauma · 2022Article
- Comparison of Mechanical Performance between Circular Frames and Biplanar Distraction Devices for Knee Joint Distraction.Strategies in trauma and limb reconstructionArticle
- Outcomes of Acute Ankle Distraction for Intra-articular Distal Tibial and Pilon Fractures.Strategies in trauma and limb reconstructionReview
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Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe treatment algorithm for end-stage ankle arthritis is imperfect. Young or active patients are challenging to treat as fusion and replacement carry predictable consequences. Ankle distraction arthroplasty is a less commonly utilized surgical procedure for the treatment of osteoarthritis of the ankle. The purpose of this study was to report intermediate-term survival of ankle distraction and to identify factors associated with earlier time to failure. MATERIALS AND
methodsA single-centre, multi-surgeon cohort of 258 cases of ankle arthritis, treated with ankle distraction or ankle distraction with supramalleolar osteotomy (SMO), was identified. Patients were contacted by phone to determine the status of the ankle (natural vs fused/replaced). Data were collected through chart review. This included patient demographics, medical comorbidities, surgical procedure, and X-ray characteristics including pattern and severity. A Cox regression model was used to determine factors associated with failure during 10 years of follow-up. Risk factors were analysed as hazard ratios (HRs) and 95% confidence intervals (CIs). Time to failure was illustrated with Kaplan-Meier (KM) curves.
resultsIn total, 144 cases were successfully contacted with median follow-up of 4.57 years. In total, 16.7% of ankles failed (24/144). The 5-year survival was 84% (95% CI: 78-91%). In adjusted Cox regression, female sex (HR = 2.68,
conclusionAvascular necrosis of the talus and male/female gender differences in survival were found to be significant. Our experience shows that ankle distraction is a valid and effective operation for the treatment of end-stage ankle arthritis. CLINICAL SIGNIFICANCE: This work is clinically significant in that it demonstrates excellent intermediate-term survival data for hinged ankle distraction for treatment of osteoarthritis of the ankle. Additionally, it evaluated patient and disease characteristics allowing improved patient counselling with regard to survival longevity. LEVEL OF EVIDENCE: IV cohort study. HOW TO CITE THIS ARTICLE: Greenfield S, Matta KM, McCoy TH,
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