EFFECTIVENESS OF DISTRACTION THERAPY ASSISTED BY ARTHROSCOPE IN TREATMENT OF ANKLE TRAUMATIC OSTEOARTHRITIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

DUJian ¹ , YANGRuifei ² , SUILei ¹ , YANGBo ¹ ,  YANGMaowei ¹

1. Department of Orthopedics, the First Affiliated Hospital of China Medical University, Shenyang Liaoning, 110001, P. R. China;
2. Department of Rehabilitation Therapy, Shenyang Medical College;

Corresponding author：

YANGMaowei, Email: ymw69@sohu.com

Keywords：

Ankle; Osteoarthritis; Arthroscope; Ilizarov stretch technique

DOI：

10.7507/1002-1892.20160033

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effectiveness of distraction therapy assisted by arthroscope in the treatment of ankle traumatic osteoarthritis. Methods Between October 2013 and October 2014, 13 patients with ankle 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, ankle hyperplasia osteophytes was removed under arthroscope, then Ilizarov apparatus was used to maintain distraction of 5-10 mm ankle space for 3 months. Results 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. Conclusion Distraction therapy assisted by arthroscope is an effective method for treating ankle traumatic osteoarthritis.

Citation： DUJian, YANGRuifei, SUILei, YANGBo, YANGMaowei. EFFECTIVENESS OF DISTRACTION THERAPY ASSISTED BY ARTHROSCOPE IN TREATMENT OF ANKLE TRAUMATIC OSTEOARTHRITIS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(2): 161-164. doi: 10.7507/1002-1892.20160033 Copy

1.	Saltzman CL, Salamon ML, Blanchard GM, et al. Epidemiology of ankle arthritis:report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J, 2005, 25:44-46.
2.	王素华, 李立明, 李俊. SF-36健康调查量表的应用. 国外医学:社会医学分册, 2001, 18(1):4-8.
3.	李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2):109-113.
4.	Scranton PE Jr, McDermott JE. Anterior tibiotalar spurs:a comparison of open versus arthroscopic debridement. Foot Ankle, 1992, 13(3):125-129.
5.	俸志斌, 米琨, 韦仁志, 等. 关节镜下治疗踝关节骨折脱位术后踝关节撞击综合征. 中国修复重建外科杂志, 2011, 25(7):778-780.
6.	任珩, 袁学峰, 刘雅静, 等. 关节镜下手术治疗踝关节骨性关节炎的临床疗效观察. 安徽医药, 2014, 18(3):517-518.
7.	马骁, 卡索, 刘成, 等. 关节镜手术治疗踝关节骨折后创伤性关节炎17例. 解放军医药杂志, 2011, 23(4):43-45.
8.	袁奇亮, 解金三, 朱明生, 等. 关节镜下手术治疗踝关节损伤疗效观察. 中华实用诊断与治疗杂志, 2011, 25(3):273-274.
9.	Schmid T, Krause FG. Conservative treatment of asymmetric ankle osteoarthritis. Foot Ankle Clin, 2013, 18(3):437-448.
10.	孟庆阳, 于腾波, 虞连奎, 等. 关节镜辅助下与开放性踝关节融合术的疗效比较. 中国修复重建外科杂志, 2013, 27(3):288-291.
11.	毛立飞, 李春会, 韩昕光, 等. 踝关节骨性关节炎的治疗进展. 医学综述, 2015, 21(6):1031-1033.
12.	张冠宏, 周磊. 关节镜微创治疗踝关节骨关节炎. 中国矫形外科杂志, 2011, 19(3):254-255.
13.	刘畅, 施新革, 刘玉杰, 等. 关节镜手术与非手术治疗踝关节退行性骨关节病的疗效比较. 中国修复重建外科杂志, 2012, 26(11):1315-1318.

1. Saltzman CL, Salamon ML, Blanchard GM, et al. Epidemiology of ankle arthritis:report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J, 2005, 25:44-46.
2. 王素华, 李立明, 李俊. SF-36健康调查量表的应用. 国外医学:社会医学分册, 2001, 18(1):4-8.
3. 李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2):109-113.
4. Scranton PE Jr, McDermott JE. Anterior tibiotalar spurs:a comparison of open versus arthroscopic debridement. Foot Ankle, 1992, 13(3):125-129.
5. 俸志斌, 米琨, 韦仁志, 等. 关节镜下治疗踝关节骨折脱位术后踝关节撞击综合征. 中国修复重建外科杂志, 2011, 25(7):778-780.
6. 任珩, 袁学峰, 刘雅静, 等. 关节镜下手术治疗踝关节骨性关节炎的临床疗效观察. 安徽医药, 2014, 18(3):517-518.
7. 马骁, 卡索, 刘成, 等. 关节镜手术治疗踝关节骨折后创伤性关节炎17例. 解放军医药杂志, 2011, 23(4):43-45.
8. 袁奇亮, 解金三, 朱明生, 等. 关节镜下手术治疗踝关节损伤疗效观察. 中华实用诊断与治疗杂志, 2011, 25(3):273-274.
9. Schmid T, Krause FG. Conservative treatment of asymmetric ankle osteoarthritis. Foot Ankle Clin, 2013, 18(3):437-448.
10. 孟庆阳, 于腾波, 虞连奎, 等. 关节镜辅助下与开放性踝关节融合术的疗效比较. 中国修复重建外科杂志, 2013, 27(3):288-291.
11. 毛立飞, 李春会, 韩昕光, 等. 踝关节骨性关节炎的治疗进展. 医学综述, 2015, 21(6):1031-1033.
12. 张冠宏, 周磊. 关节镜微创治疗踝关节骨关节炎. 中国矫形外科杂志, 2011, 19(3):254-255.
13. 刘畅, 施新革, 刘玉杰, 等. 关节镜手术与非手术治疗踝关节退行性骨关节病的疗效比较. 中国修复重建外科杂志, 2012, 26(11):1315-1318.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF DISTRACTION THERAPY ASSISTED BY ARTHROSCOPE IN TREATMENT OF ANKLE TRAUMATIC OSTEOARTHRITIS

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content