Journal article
Ankle osteoarthritis: comprehensive review and treatment algorithm proposal
EFORT Open Reviews, Vol.7(7), pp.448-459
07/05/2022
DOI: 10.1530/EOR-21-0117
PMCID: PMC9297055
PMID: 35900210
Abstract
• Ankle osteoarthritis (OA) is much less frequent than knee or hip OA, but it can be equally disabling, greatly affecting the quality of life of the patients. • Approximately 80% of ankle OA is post-traumatic, mainly secondary to malleolar fractures, being another of the main causes untreated in chronic instability. The average age of the patient affected by ankle OA is around 50 years, being therefore active patients and in working age who seek to maintain mobility and remain active. • The authors conducted a comprehensive review of the conservative, medical, and surgical treatment of ankle OA. • Initial conservative treatment is effective and should be attempted in any stage of OA. From a pharmacological point of view, non-steroidal anti-inflammatory drugs (NSAIDs) and intraarticular infiltrations can produce temporary relief of symptoms. • After the failure of conservative-medical treatment, two large groups of surgical treatment have been described: joint-preserving and joint-sacrificing procedures. • In the early stages, only periarticular osteotomies have enough evidence to recommend in ankle OA with malalignment. Both ankle arthrodesis and ankle replacement can produce satisfactory functional results if correctly indicated in the final stages of the disease. • Finally, the authors propose a global treatment algorithm that can aid in the decisionmaking process.
Details
- Title: Subtitle
- Ankle osteoarthritis: comprehensive review and treatment algorithm proposal
- Creators
- Mario Herrera-Pérez - Hospital Universitario de CanariasVictor Valderrabano - Foot and Ankle Unit, Orthopaedic Department, Schmerzklinik, Basel, SwitzerlandAlexandre L Godoy-Santos - Hospital Israelita Albert EinsteinCésar de César Netto - University of IowaDavid González-Martín - Hospital Universitario de CanariasSergio Tejero - Hospital Universitario Virgen del Rocío
- Resource Type
- Journal article
- Publication Details
- EFORT Open Reviews, Vol.7(7), pp.448-459
- DOI
- 10.1530/EOR-21-0117
- PMID
- 35900210
- PMCID
- PMC9297055
- ISSN
- 2058-5241
- eISSN
- 2058-5241
- Language
- English
- Date published
- 07/05/2022
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984303985302771
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