Ankle arthroplasty alternatives with allograft and external fixation: preliminary clinical outcome

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Daniel K Lee

Abstract

Tibiotalar joint reconstruction for the treatment of osteoarthritic and post-traumatic arthritic joint remains controversial and unsatisfactory. While the current literature recommends joint arthrodesis as a gold standard, current developments in allograft technology may aid in the repair of articular damage; avoid any metallic implant wear, failure, and revision; and preserve normal musculoskeletal biomechanics. The purpose of this retrospective study was to report the early clinical outcomes of ankle arthroplasty with allograft and with the application of a monolateral external fixation in the treatment of ankle arthritis. Eighteen patients (18 ankles, n = 18) with end-stage ankle arthritis, underwent surgical intervention. The mean preoperative AOFAS score was 32.0 +/- 1.1 (30-33) while the postop was 87.33 +/- 7.6 (81-97) (P = .000). There were no complications associated with the allograft material. There were also no complications with the external fixator. The early clinical outcome results provided an optimistic view of this procedure as another alternative treatment for the arthritic ankle, with subjective patient improvement and satisfaction, as well as a statistically significant and functionally increased range of m...Continue Reading

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Citations

Oct 8, 2013·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Ricardo Rodrigues-PintoPaulo Amado
Dec 25, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Stephen A BrigidoHarold D Schoenhaus
Aug 28, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Albert M D'Angelantonio, Faith A Schick
Jun 26, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Heiko B Adams, Jeffery J VanYperen
Sep 26, 2009·Clinics in Podiatric Medicine and Surgery·Stephen A BrigidoHarold Schoenhaus
Apr 26, 2014·Orthopedics·Nicole M ProtzmanStephen A Brigido
Oct 3, 2009·Foot & Ankle International·Michel P BonninMark Casillas
Nov 17, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·N Nicoli AldiniM Fini
Jul 2, 2010·Clinical Orthopaedics and Related Research·Michel BonninThierry Judet
May 25, 2021·Strategies in Trauma and Limb Reconstruction·Amgad M HaleemS Robert Rozbruch

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