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Clinical and Radiological Mid-to-Long-term Outcomes Following Ankle Arthrolysis.
Freya-Isabelle Rohlfing1,2, Ulrich Wiebking1,2, Padhraig F O'Loughlin3
1Section of Upper Extremity, Foot and Rheuma Surgery, Trauma Department, Medical School Hannover (MHH), Hannover, Germany.
In Vivo (Athens, Greece)
|February 27, 2019
Summary
Arthrolysis surgery for ankle joint osteoarthrosis shows good outcomes, with fewer than 20% needing fusion. Female gender and younger age positively impact quality of life and function.
Area of Science:
- Orthopedic surgery
- Joint reconstruction
- Osteoarthritis research
Background:
- Osteoarthritis of the ankle joint often leads to pain and reduced function.
- Arthrolysis surgery is a potential treatment option for ankle joint osteoarthrosis.
Purpose of the Study:
- To assess the clinical and radiographic success of arthrolysis surgery.
- To determine the risk of osteoarthrosis progression after arthrolysis.
- To identify factors influencing patient outcomes.
Main Methods:
- Retrospective clinical and radiological study.
- Minimum follow-up period of 24 months.
- Evaluation of pain levels and quality of life using the Foot Function Index.
Main Results:
- 16% of patients required ankle fusion within 2 years post-arthrolysis.
- Female patients reported higher quality of life.
- Younger patients demonstrated better quality of life and function scores.
- No significant correlation found between radiographic osteoarthrotic changes, follow-up interval, and clinical outcome.
Conclusions:
- Arthrolysis surgery for ankle osteoarthrosis is associated with a low rate of subsequent ankle fusion (under 20%).
- Female gender and younger patient age are associated with improved clinical outcomes.
- Preoperative radiographic findings and the postsurgical interval are not reliable predictors of osteoarthrosis progression.
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