EFFECTIVENESS OF DISTRACTION THERAPY ASSISTED BY ARTHROSCOPE IN TREATMENT OF ANKLE TRAUMATIC OSTEOARTHRITIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

DUJian ¹ , YANGRuifei ² , SUILei ¹ , YANGBo ¹ ,  YANGMaowei ¹

1. Department of Orthopedics, the First Affiliated Hospital of China Medical University, Shenyang Liaoning, 110001, P. R. China;
2. Department of Rehabilitation Therapy, Shenyang Medical College;

Corresponding?author：

YANGMaowei, Email: ymw69@sohu.com

Keywords：

Ankle; Osteoarthritis; Arthroscope; Ilizarov stretch technique

DOI：

10.7507/1002-1892.20160033

Video：

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Objective To investigate the effectiveness of distraction therapy assisted by arthroscope in the treatment of ankle traumatic osteoarthritis. Methods Between October 2013 and October 2014, 13 patients with ankle traumatic osteoarthritis were treated, including 8 males and 5 females with an age range of 44-63 years (mean, 55.2 years). The left ankle and the right ankle were involved in 4 and 9 cases respectively. The disease duration was 1.5-10.0 years (median, 5 years). The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hind foot scale score was 51.00±7.09; the short-form 36 health survey scale (SF-36) score was 40.82±4.62. According to Scranton grade system, 9 cases were rated as grade II and 4 cases as grade III. First, ankle hyperplasia osteophytes was removed under arthroscope, then Ilizarov apparatus was used to maintain distraction of 5-10 mm ankle space for 3 months. Results One case had postoperative pin tract infection after removing the external fixation, and infection was controlled by dressing treatment; no related complications occurred in the other patients. All patients got follow-up of 12-18 months (mean, 14.7 months). Patients achieved disappearance of ankle swelling, pain relief, and were able to walk after rehabilitation. The ankle activity was obviously improved. At last follow-up, AOFAS ankel-hind foot scale score and SF-36 score were significantly increased to 85.23±6.41 and 56.29±6.20 respectively (t=20.756, P=0.025; t=11.647, P=0.018). According to AOFAS scores, the results were excellent in 4 cases, good in 8 cases, and fair in 1 case; the excellent and good rate was 92.3%. Postoperative X-ray film showed normal ankle position and alignment, osteophytes at the edges of the tibia and talus, articular surface sclerosis, normal joint space, and no joint swelling. Conclusion Distraction therapy assisted by arthroscope is an effective method for treating ankle traumatic osteoarthritis.

Citation： DUJian, YANGRuifei, SUILei, YANGBo, YANGMaowei. EFFECTIVENESS OF DISTRACTION THERAPY ASSISTED BY ARTHROSCOPE IN TREATMENT OF ANKLE TRAUMATIC OSTEOARTHRITIS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(2): 161-164. doi: 10.7507/1002-1892.20160033 Copy

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2.	王素華, 李立明, 李俊. SF-36健康調查量表的應用. 國外醫學:社會醫學分冊, 2001, 18(1):4-8.
3.	李魯, 王紅妹, 沈毅. SF-36健康調查量表中文版的研制及其性能測試. 中華預防醫學雜志, 2002, 36(2):109-113.
4.	Scranton PE Jr, McDermott JE. Anterior tibiotalar spurs:a comparison of open versus arthroscopic debridement. Foot Ankle, 1992, 13(3):125-129.
5.	俸志斌, 米琨, 韋仁志, 等. 關節鏡下治療踝關節骨折脫位術后踝關節撞擊綜合征. 中國修復重建外科雜志, 2011, 25(7):778-780.
6.	任珩, 袁學峰, 劉雅靜, 等. 關節鏡下手術治療踝關節骨性關節炎的臨床療效觀察. 安徽醫藥, 2014, 18(3):517-518.
7.	馬驍, 卡索, 劉成, 等. 關節鏡手術治療踝關節骨折后創傷性關節炎17例. 解放軍醫藥雜志, 2011, 23(4):43-45.
8.	袁奇亮, 解金三, 朱明生, 等. 關節鏡下手術治療踝關節損傷療效觀察. 中華實用診斷與治療雜志, 2011, 25(3):273-274.
9.	Schmid T, Krause FG. Conservative treatment of asymmetric ankle osteoarthritis. Foot Ankle Clin, 2013, 18(3):437-448.
10.	孟慶陽, 于騰波, 虞連奎, 等. 關節鏡輔助下與開放性踝關節融合術的療效比較. 中國修復重建外科雜志, 2013, 27(3):288-291.
11.	毛立飛, 李春會, 韓昕光, 等. 踝關節骨性關節炎的治療進展. 醫學綜述, 2015, 21(6):1031-1033.
12.	張冠宏, 周磊. 關節鏡微創治療踝關節骨關節炎. 中國矯形外科雜志, 2011, 19(3):254-255.
13.	劉暢, 施新革, 劉玉杰, 等. 關節鏡手術與非手術治療踝關節退行性骨關節病的療效比較. 中國修復重建外科雜志, 2012, 26(11):1315-1318.

1. ?Saltzman CL, Salamon ML, Blanchard GM, et al. Epidemiology of ankle arthritis:report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J, 2005, 25:44-46.
2. 王素華, 李立明, 李俊. SF-36健康調查量表的應用. 國外醫學:社會醫學分冊, 2001, 18(1):4-8.
3. 李魯, 王紅妹, 沈毅. SF-36健康調查量表中文版的研制及其性能測試. 中華預防醫學雜志, 2002, 36(2):109-113.
4. Scranton PE Jr, McDermott JE. Anterior tibiotalar spurs:a comparison of open versus arthroscopic debridement. Foot Ankle, 1992, 13(3):125-129.
5. 俸志斌, 米琨, 韋仁志, 等. 關節鏡下治療踝關節骨折脫位術后踝關節撞擊綜合征. 中國修復重建外科雜志, 2011, 25(7):778-780.
6. 任珩, 袁學峰, 劉雅靜, 等. 關節鏡下手術治療踝關節骨性關節炎的臨床療效觀察. 安徽醫藥, 2014, 18(3):517-518.
7. 馬驍, 卡索, 劉成, 等. 關節鏡手術治療踝關節骨折后創傷性關節炎17例. 解放軍醫藥雜志, 2011, 23(4):43-45.
8. 袁奇亮, 解金三, 朱明生, 等. 關節鏡下手術治療踝關節損傷療效觀察. 中華實用診斷與治療雜志, 2011, 25(3):273-274.
9. Schmid T, Krause FG. Conservative treatment of asymmetric ankle osteoarthritis. Foot Ankle Clin, 2013, 18(3):437-448.
10. 孟慶陽, 于騰波, 虞連奎, 等. 關節鏡輔助下與開放性踝關節融合術的療效比較. 中國修復重建外科雜志, 2013, 27(3):288-291.
11. 毛立飛, 李春會, 韓昕光, 等. 踝關節骨性關節炎的治療進展. 醫學綜述, 2015, 21(6):1031-1033.
12. 張冠宏, 周磊. 關節鏡微創治療踝關節骨關節炎. 中國矯形外科雜志, 2011, 19(3):254-255.
13. 劉暢, 施新革, 劉玉杰, 等. 關節鏡手術與非手術治療踝關節退行性骨關節病的療效比較. 中國修復重建外科雜志, 2012, 26(11):1315-1318.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF DISTRACTION THERAPY ASSISTED BY ARTHROSCOPE IN TREATMENT OF ANKLE TRAUMATIC OSTEOARTHRITIS

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