Current Concepts in the Management of Ankle Osteoarthritis: A Systematic Review

J Foot Ankle Surg. 2015 Sep-Oct;54(5):932-9. doi: 10.1053/j.jfas.2014.12.042. Epub 2015 May 28.

Abstract

Ankle osteoarthritis is less common than hip or knee osteoarthritis; however, it is a relatively common presentation and is predominantly related to previous trauma. Treatments have traditionally consisted of temporizing measures such as analgesia, physiotherapy, and injections until operative treatment in the form of arthrodesis is required. More recently, interest has been increasing in both nonoperative and alternative operative options, including joint-sparing surgery, minimal access arthrodesis, and new arthroplasty designs. The present systematic instructional review has summarized the current evidence for the treatment options available for ankle osteoarthritis.

Keywords: arthrodesis; arthroplasty; talus; tibia; total ankle arthroplasty.

Publication types

  • Comparative Study
  • Review
  • Systematic Review

MeSH terms

  • Aged
  • Ankle Joint*
  • Arthrodesis / instrumentation
  • Arthrodesis / methods*
  • Arthroplasty, Replacement, Ankle / methods*
  • Bone Nails
  • Bone Plates
  • Case Management
  • Female
  • Glucosamine / therapeutic use
  • Humans
  • Hyaluronic Acid / therapeutic use
  • Injections, Intra-Articular
  • Male
  • Middle Aged
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / therapy*
  • Pain Measurement
  • Physical Therapy Modalities
  • Prognosis
  • Prosthesis Failure
  • Radiography
  • Reoperation
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Hyaluronic Acid
  • Glucosamine