Strategies in Trauma and Limb Reconstruction

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VOLUME 13 , ISSUE 2 ( August, 2018 ) > List of Articles

Review

Distraction arthroplasty compared to other cartilage preservation procedures in patients with post-traumatic arthritis: a systematic review

Jessica C. Rivera, Jason A. Beachler

Keywords : Post-traumatic arthritis, Cartilage, Joint-sparing, Distraction arthroplasty

Citation Information : Rivera JC, Beachler JA. Distraction arthroplasty compared to other cartilage preservation procedures in patients with post-traumatic arthritis: a systematic review. 2018; 13 (2):61-67.

DOI: 10.1007/s11751-018-0305-2

License: CC BY-NC-SA 4.0

Published Online: 31-08-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Post-traumatic arthritis (PTA) is characterized by the deterioration of articular cartilage temporally associated with an articular injury. With a paucity of literature comparing joint preservation techniques, we performed a systematic review of the literature intending to describe and summarize the results of ankle distraction arthroplasty as it compares with studies on tibio-talar microfracture, allograft, and autograft for ankle joint preservation in the post-traumatic population under 50 years of age. Research databases were searched and abstracts screened for relevance on our topic of interest. Abstracts meeting screening criteria with high interobserver reliability underwent full-manuscript review and coding for pertinent citation, study level, treatment, and outcome variables. Outcome variables for patient-reported pain scales, validated outcome measurement tools, radiographic progression, reoperation/re-treatment rates, and complication rates were recorded. Out of 105 unique citations, 10 publications were included. The distraction arthroplasty studies had 36 out of 181 patients requiring reoperation for complications (19.9%), while other joint-preserving procedures studies had 40 out of 177 patients requiring reoperations for complications (22.6%). Clinical outcome scores at mean follow-up time ranging from 2 to 10 years between studies were similar. Reported results for a variety of cartilage preservation procedures, including distraction arthroplasty, are satisfactory and reoperation rates for complication are similar. Limitations in available data and underlying study quality affect synthesis of the results therein. While distraction arthroplasty is an option for cartilage preservation in patients with PTA of the ankle, the technique is highly specialized which may affect the external validity. Level of evidence: III.


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  1. Becher C, Driessen A, Hess T et al (2010) Microfracture for chondral defects of the talus: maintenance of early results at midterm follow-up. Knee Surg Sports Traumatol Arthrosc 18(5):656-663
  2. Brown TD, Johnston RC, Saltzman CL et al (2006) Posttraumatic osteoarthritis: a first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma 20:739-744
  3. Buckwalter JA, Brown TD (2004) Joint injury, repair, and remodeling: roles in post traumatic osteoarthritis. Clin Orthop Relat Res 423:7-16
  4. Buda R, Castagnini F, Cavallo M et al (2015) “One-step” bone marrow-derived cells transplantation and joint debridement for osteochondral lesions of the talus in ankle osteoarthritis” clinical and radiological outcomes at 36 months. Arch Orthop Trauma Surg 136:107-116
  5. Bugbee WD, Khanna G, Cavallo M et al (2013) Bipolar fresh osteochondral allografting of the tibiotalar joint. J Bone Joint Surg 95:426-432
  6. Chiodo CP, McGarvey W (2004) Joint distraction for the treatment of ankle osteoarthritis. Foot Ankle Clin 9:541-553
  7. Giannini S, Buda R, Pagliazzi G et al (2014) Survivorship of bipolar fresh total osteochondral ankle allograft. Foot Ankle Int 35(3):243-251
  8. Glazebrook M, Daniels T, Younger A et al (2008) Comparison of health-related quality of life between patients with end-stage ankle and hip arthrosis. J Bone Jt Surg 90:499-505
  9. Gobbi A, Francisco RA, Lubowitz JH et al (2006) Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation. Arthroscopy 22(10):1085-1092
  10. Jeng CL, Kadakia A, White KL et al (2008) Fresh osteochondral total ankle allograft transplantation for the treatment of ankle arthritis. Foot Ankle Int 29(6):554-560
  11. Marijnissen AC, Hoekstra MC, Pre BC et al (2014) Patient characteristics as predictors of clinical outcomes of distraction in treatment of severe ankle osteoarthritis. J Orthop Res 32(1):96-101. http s://doi.org/10.1002/jor.2247 5
  12. Marijnissen AC, van Roermund PM, van Melkebeek J et al (2003) Clinical benefit of joint distraction in the treatment of ankle osteoarthritis. Foot Ankle Clin 8:335-346
  13. Marsh JL, Weigel DP, Dirschl DR (2003) Tibial plafond fractures. How do these ankles function over time? J Bone Jt Surg 85:287-295
  14. Nguyen MP, Pedersen DR, Gao Y et al (2015) Intermediate-term follow-up after ankle distraction for treatment of end-stage osteoarthritis. J Bone Joint Surg 97(7):590-596
  15. Pinski JM, Boakye LA, Murawski CD et al (2016) Low level of evidence and methodologic quality of clinical outcomes studies on cartilage repair of the ankle. Arthroscopy 32(1):214-222
  16. Ploegmakers JWW, van Roermund PM, van Melkebeek J et al (2005) Prolonged clinical benefit from joint distraction in the treatment of ankle osteoarthritis. Osteoarthr Cartil 13(7):582-588
  17. Saltzman CL, Hillis SL, Stolley MP et al (2012) Motion versus fixed distraction of the joint in the treatment of ankle osteoarthritis: a prospective randomized controlled trial. J Bone Joint Surg 94:961-970
  18. Saltzman CL, Zimmerman MB, O'Rourke M et al (2006) Impact of comorbidities on the measurement of health in patients with ankle osteoarthritis. J Bone Joint Surg 88:2366-2372
  19. Schuh R, Hofstaetter J, Krismer M et al (2012) Total ankle arthroplasty versus ankle arthrodesis. Comparison of sports, recreational activities and functional outcomes. Int Orthop 36(6):1207-1214
  20. Smith NC, Beaman D, Rozbruch R et al (2012) Evidence-based indication for distraction ankle arthroplasty. Foot Ankle Int 33(8):632-636
  21. Tellisi N, Fragomen AT, Kleinman D et al (2009) Joint preservation of the osteoarthritic ankle using distraction arthroplasty. Foot Ankle Int 30(4):318-325
  22. Von Ville HM (2015) Excel workbooks for systematic reviews. http://libguides.sph.uth.tmc.edu/excel_SR_workbook. Accessed 24 Sept 2015
  23. Wiewiorski M, Barg A, Valderrabano V (2013) Chondral and osteochondral reconstruction of local ankle degeneration. Foot Ankle Clin 18:543-554
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