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Ankle osteoarthritis: comprehensive review and treatment algorithm proposal.
EFORT Open Reviews ( IF 3.4 ) Pub Date : 2022-07-05 , DOI: 10.1530/eor-21-0117
Mario Herrera-Pérez 1, 2 , Victor Valderrabano 3, 4 , Alexandre L Godoy-Santos 5 , César de César Netto 6, 7 , David González-Martín 1, 2 , Sergio Tejero 8, 9
Affiliation  

Ankle osteoarthritis (OA) is much less frequent than knee or hip OA, but it can be equally disabling, greatly affecting the quality of life of the patients. Approximately 80% of ankle OA is post-traumatic, mainly secondary to malleolar fractures, being another of the main causes untreated in chronic instability. The average age of the patient affected by ankle OA is around 50 years, being therefore active patients and in working age who seek to maintain mobility and remain active. The authors conducted a comprehensive review of the conservative, medical, and surgical treatment of ankle OA. Initial conservative treatment is effective and should be attempted in any stage of OA. From a pharmacological point of view, non-steroidal anti-inflammatory drugs (NSAIDs) and intra-articular infiltrations can produce temporary relief of symptoms. After the failure of conservative-medical treatment, two large groups of surgical treatment have been described: joint-preserving and joint-sacrificing procedures. In the early stages, only periarticular osteotomies have enough evidence to recommend in ankle OA with malalignment. Both ankle arthrodesis and ankle replacement can produce satisfactory functional results if correctly indicated in the final stages of the disease. Finally, the authors propose a global treatment algorithm that can aid in the decision-making process.

中文翻译:

踝关节骨关节炎:综合审查和治疗算法建议。

踝关节骨性关节炎 (OA) 的发生率远低于膝关节或髋关节 OA,但它同样可以致残,极大地影响患者的生活质量。大约 80% 的踝关节 OA 是创伤后的,主要继发于踝关节骨折,是慢性不稳定未治疗的另一个主要原因。受踝关节 OA 影响的患者的平均年龄约为 50 岁,因此是活跃的患者和工作年龄,他们寻求保持活动能力并保持活跃。作者对踝关节 OA 的保守治疗、药物治疗和手术治疗进行了全面回顾。最初的保守治疗是有效的,应该在 OA 的任何阶段尝试。从药理学的角度来看,非甾体抗炎药(NSAIDs)和关节内浸润可以暂时缓解症状。在保守医学治疗失败后,已经描述了两大类手术治疗:保留关节和关节牺牲手术。在早期阶段,只有关节周围截骨术有足够的证据推荐用于对线不良的踝关节 OA。如果在疾病的最后阶段正确指出,踝关节融合术和踝关节置换术都可以产生令人满意的功能结果。最后,作者提出了一种可以帮助决策过程的全局处理算法。如果在疾病的最后阶段正确指出,踝关节融合术和踝关节置换术都可以产生令人满意的功能结果。最后,作者提出了一种可以帮助决策过程的全局处理算法。如果在疾病的最后阶段正确指出,踝关节融合术和踝关节置换术都可以产生令人满意的功能结果。最后,作者提出了一种可以帮助决策过程的全局处理算法。
更新日期:2022-07-05
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