[Results of arthrodiastasis in postraumatic ankle osteoarthritis in a young population: prospective comparative study].

Abstract

INTRODUCTION:

The most common cause of osteoarthritis of the ankle is post-traumatic, and although tibiotalar arthrodesis remains the surgical gold standard, a number of techniques have been described to preserve joint mobility, such as joint distraction arthroplasty or arthrodiastasis.

OBJECTIVE:

To evaluate the functional outcome and changes in Visual Analogue Scale (VAS) for pain after the application of the distraction arthroplasty for post-traumatic ankle osteoarthritis.

PATIENTS AND METHODS:

A prospective comparative study of a group of 10 young patients with post-traumatic ankle osteoarthritis treated by synovectomy and arthrodiastasis, compared to a control group of 10 patients treated by isolated synovectomy. Results were calculated using the AOFAS scale and the VAS for pain before and after treatment.

RESULTS:

As regards the pain measured by VAS, no difference was observed between the two groups before surgery (P=.99), but there was a difference at 3 months (P<.001), 6 months (P=.005), and 12 months (P=.006). No differences were observed in the AOFAS scale between the two groups before surgery (P=.99), or at 3 months (P<.99), but there was a difference at 6 months (P<.001).

CONCLUSIONS:

Ankle arthrodiastasis is effective in reducing pain in post-traumatic ankle arthropathy, and is superior to isolated synovectomy.

• Authors: M Herrera-Pérez, J L Pais-Brito, J de Bergua-Domingo, M Aciego de Mendoza, A Guerra-Ferraz, P Cortés-García, B Déniz-Rodríguez
• Journal: Revista espanola de cirugia ortopedica y traumatologia (Rev Esp Cir Ortop Traumatol) 2013 Nov-Dec Vol. 57 Issue 6 Pg. 409-16 ISSN: 1988-8856 [Electronic] Spain
• Vernacular Title: Resultados de la artrodiastasis en la artropatía postraumática de tobillo en población joven: estudio prospectivo comparativo.
• PMID: 24126145 (Publication Type: Comparative Study, English Abstract, Journal Article)
• Copyright: © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

Topics

• Adult
• Ankle Injuries (complications)
• Ankle Joint (surgery)
• Female
• Humans
• Male
• Middle Aged
• Orthopedic Procedures (methods)
• Osteoarthritis (etiology, surgery)
• Prospective Studies
• Treatment Outcome
• Young Adult