ABSTRACT
This study aimed to investigate the intermediate-term efficacy of nonosteotomy approaches
in the treatment of early to intermediate stage ankle osteoarthritis (OA). Forty-two
patients received treatment for early to intermediate stage ankle osteoarthritis with
nonosteotomy approaches were reviewed. The surgical satisfaction was evaluated at
1 year after surgery and the last follow-up period; the American Orthopaedic Foot
and Ankle Society (AOFAS) scale and Visual Analog Scale (VAS) were employed for the
evaluation of function and pain, respectively, and the stage of ankle osteoarthritis
was determined. At 1 year surgery and the last follow-up period, the surgical satisfaction
was 37 (88.1%) and 35 (83.3%), respectively, and the favorable function was noted
in 34 (80.9%) and 32 (76.2%), respectively. The AOFAS score significantly increased
from 50.62 ± 10.81 (range 30-60) before surgery to 81.43 ± 12.00 (range 75-95) at
1 year after surgery (p < .0001) and 79.67 ± 10.34 (range 70-96) at the last follow-up period (p < .0001 vs before surgery; p = .107 vs 1 year). The VAS score reduced from 5.07 ± 1.57 (range 4-7) before surgery
to 1.97 ± 1.41 (range 0-3) at 1 year (p < .0001) and 1.80 ± 1.15 (range 0-3) at the last follow-up period (p < .0001 vs before surgery; p = .265 vs 1 year). Moreover, the AOFAS score and VAS score in patients with ankle
osteoarthritis at different stages were improved significantly after surgery (p < .0001). Intermediate-term follow-up period shows that nonosteotomy approaches are
able to relieve pain and improve postoperative function in the treatment of early
to intermediate stage ankle osteoarthritis; the improvement determined according to
imaging examination is not completely consistent with that determined based on clinical
function.
Level of Clinical Evidence
Keywords
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References
- Effect of tibiotalar joint arthrodesis on adjacent tarsal joint pressure in a cadaver model.Foot Ankle Int. 2007; 28: 103-108
- Low tibial osteotomy for varus-type osteoarthritis of the ankle.J Bone Joint Surg Br. 2006; 88: 909-913
- Extraarticular supramalleolar osteotomy for managing varus ankle osteoarthritis, alternatives for osteotomy: how and why?.Foot Ankle Clin. 2016; 21: 27-35
- Management of varus ankle osteoarthritis with joint-preserving osteotomy.Foot Ankle Clin. 2013; 18: 471-480
- The use of tibial osteotomy (Ankle Plafondplasty) for joint preservation of ankle deformity and early arthritis.Foot Ankle Clin. 2016; 21: 15-26
- Comparison of clinical outcomes between arthroscopic subchondral drilling and microfracture for osteochondral lesions of the talus.Knee Surg Sports Traumatol Arthrosc. 2016; 24: 2140-2147
- Combined medial and lateral anatomic ligament reconstruction for chronic rotational instability of the ankle.Foot Ankle Int. 2011; 32: 1122-1126
- Early and late repair of lateral ligament of the ankle.Foot Ankle. 1980; 1: 84-89
- Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes.Foot Ankle Int. 1994; 15: 349-353
- Reliability and validity of the subjective component of the American Orthopaedic Foot and Ankle Society clinical rating scales.J Foot Ankle Surg. 2007; 46: 65-74
- Mann's Surgery of the Foot and Ankle.9th ed. Elsevier Medicine, 2014: 1555
- Chronic ankle instability (medial and lateral).Clin Sports Med. 2015; 34: 679-688
- Management and prevention of acute and chronic lateral ankle instability in athletic patient populations.World J Orthop. 2015; 6: 161-171
- Etiology of ankle osteoarthritis.Clin Orthop Relat Res. 2009; 467: 1800-1806
- Peritalar instability.Foot Ankle Int. 2012; 33: 450-454
- Ligament reconstruction and calcaneal osteotomy for osteoarthritis of the ankle.Foot Ankle Int. 2009; 30: 475-480
- Sports and recreation activity of varus and valgus ankle osteoarthritis before and after realignment surgery.Foot Ankle Int. 2008; 29: 985-993
- Intra-articular opening medial tibial wedge osteotomy (plafond-plasty) for the treatment of intra-articular varus ankle arthritis and instability.Foot Ankle Int. 2012; 33: 255-261
- Associated injuries found in chronic lateral ankle instability.Foot Ankle Int. 2000; 21: 809-815
- Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability.J Athl Train. 2002; 37: 364-375
- Simultaneous reconstruction of the medial and lateral collateral ligaments for chronic combined ligament injuries of the ankle.Am J Sports Med. 2017; 45: 2052-2060
- Acute and chronic lateral ankle instability diagnosis, management, and new concepts.Bull Hosp Jt Dis (2013). 2017; : 71-80
- Comparison between suture anchor and transosseous suture for the modified-Brostrom procedure.Foot Ankle Int. 2012; 33: 462-468
- Management of acute and chronic ankle instability.J Am Acad Orthop Surg. 2008; 16: 608-615
- Biomechanical comparison of reconstruction techniques in simulated lateral ankle ligament injury.Am J Sports Med. 1995; 23: 678-682
- Measuring hindfoot alignment radiographically: the long axial view is more reliable than the hindfoot alignment view.Skelet Radiol. 2010; 39: 1103-1108
- The hindfoot alignment view.Foot Ankle Int. 1995; 16: 572-576
- Hindfoot alignment measurements: rotation-stability of measurement techniques on hindfoot alignment view and long axial view radiographs.AJR Am J Roentgenol. 2011; 197: 578-582
- Joint-preserving surgery of asymmetric ankle osteoarthritis with peritalar instability.Foot Ankle Clin. 2013; 18: 503-516
Article info
Publication history
Published online: September 17, 2021
Footnotes
Financial Disclosure: This study was supported by Key Research and Development Plan of Yantai Science and Technology Bureau (2021YD048), Key Research and Development Projects of Shandong (2016GSF201112), Technology Development Plan of Shandong Medical Health Bureau (202004070458).
Conflict of Interest: All authors have no conflict of interest regarding this paper.
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