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Current Reviews in Musculoskeletal Medicine

Erschienen in:

16.10.2018 | Foot and Ankle Trauma (G Moloney, section editor)

Management of Posttraumatic Ankle Arthritis: Literature Review

verfasst von: Samuel O. Ewalefo, Malcolm Dombrowski, Takashi Hirase, Jorge L. Rocha, Mitchell Weaver, Alex Kline, Dwayne Carney, MaCalus V. Hogan

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2018

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Abstract

Purpose of Review

Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications.

Recent Findings

Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint. Regarding surgical management of posttraumatic ankle arthritis, osteochondral allograft transplantation of the talus, and supramalleolar osteotomies have demonstrated promising results. Additionally, the outpatient setting was found to be appropriate for managing pain following total ankle arthroplasty, associated with low complication rates and no readmission.

Summary

Management for posttraumatic ankle arthritis is generally progressive. Initial treatment entails nonpharmacologic options with surgery reserved for posttraumatic ankle arthritis refractory to conservative treatment. Patient demographics and lifestyles should be carefully considered when formulating a management strategy, as outcomes are dependent upon the satisfaction of each set of respective criteria. Ultimately, the management of posttraumatic ankle arthritis should be individualized to satisfy the needs and desires, which are specific to each patient.

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Titel: Management of Posttraumatic Ankle Arthritis: Literature Review
verfasst von: Samuel O. Ewalefo
Malcolm Dombrowski
Takashi Hirase
Jorge L. Rocha
Mitchell Weaver
Alex Kline
Dwayne Carney
MaCalus V. Hogan
Publikationsdatum: 16.10.2018
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2018
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-018-9525-9

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Springer Medizin

Management of Posttraumatic Ankle Arthritis: Literature Review

Abstract

Purpose of Review

Recent Findings

Summary

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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