Ankle Osteoarthritis (Subscribe)  

ORTHOPEDICS TODAY 2009; 29:46 Emerging research from the University of Iowa indicates that ankle distraction may lead to improved pain relief and function in young and active patients with endstage post-traumatic ankle osteoarthritis. “At the present time, the standard option for these types of patients is usually arthrodesis of the ankle or,...

We performed 52 cemented ankle arthroplasties for painful osteoarthritis (OA) (25) or rheumatoid arthritis (RA) (27) using an ankle prosthesis with a near-anatomical design.
We assessed the patients radiologically and clinically for up to 14 years using an ankle scoring system. The preoperative median scores were 29 for the OA group...

Ankle replacement surgery has been available for over two decades; however, it is a far less common procedure than hip or knee arthroplasty owing to the less frequent incidence of osteoarthritic ankle pathology. The majority of ankle osteoarthritis is secondary to trauma. Unlike idiopathic osteoarthritis this tends to occur in...

Norwegian Arthroplasty Register has been registering ankle replacements since 1994, but no analysis of these data has been published to date. Here we report data on the use of total ankle replacements and the revision rate in the Norwegian population over a 12-year period.
The overall 5- year and 10-year survival...

The aim of this study was to document and evaluate the early results of a nationwide series of total ankle replacements (TARs) performed using second- and third-generation implants.
RESULTS: 202 total ankle replacements were performed in 183 patients. 14 prostheses (7%) failed. The overall cumulative 5-year failure-free rate was 86%....

Of the 531 prostheses implanted, 101 had been revised by June 15, 2006. The overall survival rate at 5 years was 0.78 (95%CI: 0.74-0.82). For the three surgeons who had inserted the majority of the STAR ankles, the survival rates became significantly higher after the first 30 cases had been...

In ankles with end-stage osteoarthritis or after total ankle replacement (TAR), radiographic landmarks based on joint surface morphology are usually obscured and thus inadequate for measurement. Two candidate measures for quantifying AP tibial-talar alignment without relying on those landmarks were identified in a corollary cadaver-based study. This study aimed to...

Case Report from Hospital for Special Surgery. Patient information but gives a good illustrated account of the procedure and supporting references
Fragoman & Rozbruch

Notes on incidence and management of osteoarthritis of the ankle (tibio-talar joint)

Osteoarthritis presents less commonly in the ankle than in other lower limb joints. This is, perhaps, surprising, as the stresses in the ankle are high and the joint surfaces area lower than in other joints. In the ankle OA is often, but not always, secondary.
Post-traumatic arthritis
Rheumatoid Arthritis
Primary osteoarthritis
Intra-articular disease (eg...

Epidemiology of Ankle Arthritis The purpose of our study was to identify the cause of symptomatic ankle arthritis in a consecutive series of patients presenting in a tertiary care setting.Of the 639 arthritic ankles, 445 (70%) were post-traumatic, 76 (12%) were rheumatoid disease and 46 (7%) were idiopathic (primary osteoarthritis). The...

Injections of sodium hyaluronate into the knee joint are FDA-approved and widely used for treatment of knee osteoarthritis (OA). A pilot study reported by Dr Robert S Salk and colleagues in the February 2006 issue of the Journal of Bone and Joint Surgery suggests that this approach might also have...

Viscosupplementation refers to the concept of synovial fluid replacement with intra-articular injections of hyaluronic acid (HA) for the relief of pain associated with osteoarthritis (OA). Intra-articular viscosupplementation was approved by the Food and Drug Administration (FDA) in 1997. It is currently indicated only for the treatment of pain associated with...