+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Effectiveness of Distraction Therapy Assisted by Arthroscope in Treatment of Ankle Traumatic Osteoarthritis



Effectiveness of Distraction Therapy Assisted by Arthroscope in Treatment of Ankle Traumatic Osteoarthritis



Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 30(2): 161-164



To investigate the effectiveness of distraction therapy assisted by arthroscope in the treatment of ankle traumatic osteoarthritis. Between October 2013 and October 2014, 13 patients with anlde traumatic osteoarthritis were treated, including 8 males and 5 females with an age range of 44-63 years (mean, 55.2 years). The left ankle and the right ankle were involved in 4 and 9 cases respectively. The disease duration was 1.5-10.0 years (median, 5 years). The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hind foot scale score was 51.00 +/- 7.09; the short-form 36 health survey scale (SF-36) score was 40.82 +/- 4.62. According to Scranton grade system, 9 cases were rated as grade II and 4 cases as grade III. First, ande hyperplasia osteophytes was removed under arthroscope, then Ilizarov apparatus was used to maintain distraction of 5-10 mm ande space for 3 months. One case had postoperative pin tract infection after removing the external fixation, and infection was controlled by dressing treatment; no related complications occurred in the other patients. All patients got follow-up of 12-18 months (mean, 14.7 months). Patients achieved disappearance of ankle swelling, pain relief, and were able to walk after rehabilitation. The ankle activity was obviously improved. At last follow-up, AOFAS ankel-hind foot scale score and SF-36 score were significantly increased to 85.23 +/- 6.41 and 56.29 +/- 6.20 respectively (t=20.756, P=0.025; t=11.647, P=0.018). According to AOFAS scores, the results were excellent in 4 cases, good in 8 cases, and fair in 1 case; the excellent and good rate was 92.3%. Postoperative X-ray film showed normal ankle position and alignment, osteophytes at the edges of the tibia and talus, articular surface sclerosis, normal joint space, and no joint swelling. Distraction therapy assisted by arthroscope is an effective method for treating ankle traumatic osteoarthritis.

(PDF emailed within 1 workday: $29.90)

Accession: 057713879

Download citation: RISBibTeXText

PMID: 27276807


Related references

Chronic Tumour in the Abdomen, Produced by a Large Accumulation in the Superior Portion of the Colon, &c. Medico-Chirurgical Review 15(30): 498-500, 2018

Joint distraction for the treatment of ankle osteoarthritis. Foot and Ankle Clinics 9(3): 541-53, Ix, 2004

Joint distraction as treatment for ankle osteoarthritis. Instructional Course Lectures 48: 249-254, 1999

Joint distraction in treatment of osteoarthritis: a two-year follow-up of the ankle. Osteoarthritis and Cartilage 7(5): 474-479, 1999

Clinical benefit of joint distraction in the treatment of ankle osteoarthritis. Foot and Ankle Clinics 8(2): 335-346, 2003

Promising results of joint distraction in the treatment of ankle osteoarthritis. Arthritis & Rheumatism 40(9 SUPPL ): S282, Sept, 1997

Prolonged clinical benefit from joint distraction in the treatment of ankle osteoarthritis. Osteoarthritis and Cartilage 13(7): 582-588, 2005

Promising results of Ilizarov joint distraction in the treatment of ankle osteoarthritis. British Journal of Rheumatology 36(SUPPL 1): 118, 1997

Intermediate-term follow-up after ankle distraction for treatment of end-stage osteoarthritis. Journal of Bone and Joint Surgery. American Volume 97(7): 590-596, 2015

Joint distraction in treatment of severe ankle osteoarthritis A prospective study with 4 years follow-up. Arthritis & Rheumatism 42(9 SUPPL ): S294, Sept, 1999

Patient characteristics as predictors of clinical outcome of distraction in treatment of severe ankle osteoarthritis. Journal of Orthopaedic Research 32(1): 96-101, 2014

Subchondral bone remodeling is related to clinical improvement after joint distraction in the treatment of ankle osteoarthritis. Osteoarthritis and Cartilage 19(6): 668-675, 2011

Motion versus fixed distraction of the joint in the treatment of ankle osteoarthritis: a prospective randomized controlled trial. Journal of Bone and Joint Surgery. American Volume 94(11): 961-970, 2012

Clinical benefit of joint distraction in the treatment of severe osteoarthritis of the ankle: proof of concept in an open prospective study and in a randomized controlled study. Arthritis and Rheumatism 46(11): 2893-2902, 2002

Ankle osteoarthritis - distraction is good, additional exercise is better. Zeitschrift für Orthopadie und Unfallchirurgie 150(4): 352, 2012