Arthroscopic Open Ankle Arthrodesis: A Prospective Case Series with Seven Years Follow-up

Overview

Journal World J Orthop

Publisher Baishideng Publishing Group

Specialty Orthopedics

Date 2022 Jan 17

PMID 35036344

Authors

Federico Morelli

Giorgio Princi

Matteo Romano Cantagalli

Marco Rossini

Ludovico Caperna

Daniele Mazza

Andrea Ferretti

Affiliations

Soon will be listed here.

Abstract

Background: The osteoarthritis of the ankle, although less common than other joints, is associated with severe functional limitation. Surgical options are ankle arthroscopic debridement, osteotomies, ankle arthrodesis and ankle arthroplasty. Ankle arthroplasty is increasingly used thanks to the new implants design, but ankle arthrodesis still represents the most used technique and it can be performed arthroscopically or with an open procedure.

Aim: To compare mid-term results of arthroscopic open ankle arthrodesis of patients affected by end-stage ankle arthritis.

Methods: This study enrolled 23 patients, which underwent ankle arthrodesis. The patients were divided into 2 groups: group A (open procedure; = 11) and group B (arthroscopic procedure, = 12), the two groups were homogeneous with regard to age and body mass index ( = 0.347). The American Orthopaedic Foot and Ankle score (AOFAS), Freiburg Ankle score (FAS) and visual analogue scale for pain intensity were evaluated preoperatively, at six months and at final follow-up of 7.6 years in group A and 7.3 years in group B ( = 0.364).

Results: Patients in the arthroscopic group showed better results at six-month follow-up compared to the open group at the AOFAS (group A, 62.2; group B, 78.5; < 0.05) and the FAS (group A, 61.1; group B, 70.3; = 0.015) scores. Pain relief was achieved in both groups at six-month follow-up (group A, 1.4; group B, 0.9; = 0.162). Both open and arthroscopic groups showed improved clinical outcomes from baseline to final follow-up ( > 0.05). Hospital stay was shorter in group B than in group A ( = 0.001). More complications were reported in the open group than in the arthroscopic group ( = 0.459).

Conclusion: The arthroscopic and the open arthrodesis are valid and safe options for the treatment of ankle arthritis on the basis of clinical outcomes at 7 years follow-up. Moreover, the arthroscopic treatment shows faster improvement at six-month follow-up in comparison with the open group.

Citing Articles

Effect of light walking combined with arthroscopic surgery on bone mineral density in patients with foot and ankle osteoarthritis.

Li X, You K Heliyon. 2024; 10(16):e35575.

PMID: 39220949 PMC: 11365360. DOI: 10.1016/j.heliyon.2024.e35575.

Arthroscopic vs. Open-Ankle Arthrodesis on Fusion Rate in Ankle Osteoarthritis Patients: A Systematic Review and Meta-Analysis.

Lorente A, Pelaz L, Palacios P, Bautista I, Mariscal G, Barrios C J Clin Med. 2023; 12(10).

PMID: 37240680 PMC: 10218984. DOI: 10.3390/jcm12103574.

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