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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.
Background:
The aim of this study was to evaluate the clinical and radiographic success of arthrolysis surgery and the risk of progression of osteoarthrosis at the ankle joint.
Materials And Methods:
In a retrospective clinical and radiological study, with a minimum follow-up of 24 months, the pain level and quality of living were evaluated.
Results:
Following arthrolysis of the ankle joint, 16% of patients required ankle fusion within 2 years. Women had a higher quality-of-life in terms of Foot Function Index. Younger patients scored higher in both quality-of-life and function scores. Radiographic osteoarthrotic changes and the specific follow-up interval did not correlate with clinical outcome.
Conclusion:
Fewer than 20% of patients required ankle fusion. Female gender and young age had a positive impact. Preoperative radiography and the postsurgical interval are poorly predictive for the progression of osteoarthrosis.
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