Document Detail


Evidence-based indications for distraction ankle arthroplasty.
MedLine Citation:
PMID:  22995229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to review the literature to provide a comprehensive description of the Level of Evidence (LOE) available to support the operative technique of distraction ankle arthroplasty for the current generally accepted indications and make a grade of recommendation for each.
METHODS: A comprehensive review of the literature was performed (November 2010 to January 2011) using the PubMed database. The abstracts from these searches were reviewed to isolate literature that described therapeutic studies investigating the results of distraction ankle arthroplasty. All articles were reviewed and assigned a classification (I-V) of Level of Evidence. An analysis of the literature reviewed was used to assign a Grade of Recommendation for each current generally accepted indication for distraction ankle arthroplasty.
RESULTS: There is insufficient evidence based literature (Grade I) to support or refute the procedure for either: post-traumatic ankle arthritis, arthritis associated with ligamentous instability, primary degenerative joint disease, chondrolysis, deformity associated with arthritis, osteochondral defects and congenital ankle abnormalities.
CONCLUSION: Inadequate evidence based literature exists to support or refute all currently accepted indications for distraction ankle arthroplasty and further high quality, scientific studies are needed upgrade to these recommendations.
Authors:
Nicholas C Smith; Douglas Beaman; S Robert Rozbruch; Mark A Glazebrook
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society     Volume:  33     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-09-21     Completed Date:  2012-11-01     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  632-6     Citation Subset:  IM    
Affiliation:
Memorial University of Newfoundland. nicksmith@munmed.ca
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MeSH Terms
Descriptor/Qualifier:
Ankle / abnormalities,  surgery
Ankle Injuries / complications
Ankle Joint / surgery*
Arthritis / etiology,  surgery
Arthroplasty / methods*
Cartilage Diseases / surgery
Cartilage, Articular / surgery
Humans
Joint Instability / surgery
Osteoarthritis / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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