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Management of Posttraumatic Ankle Arthritis: Literature Review

  • Foot and Ankle Trauma (G Moloney, section editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications.

Recent Findings

Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint. Regarding surgical management of posttraumatic ankle arthritis, osteochondral allograft transplantation of the talus, and supramalleolar osteotomies have demonstrated promising results. Additionally, the outpatient setting was found to be appropriate for managing pain following total ankle arthroplasty, associated with low complication rates and no readmission.

Summary

Management for posttraumatic ankle arthritis is generally progressive. Initial treatment entails nonpharmacologic options with surgery reserved for posttraumatic ankle arthritis refractory to conservative treatment. Patient demographics and lifestyles should be carefully considered when formulating a management strategy, as outcomes are dependent upon the satisfaction of each set of respective criteria. Ultimately, the management of posttraumatic ankle arthritis should be individualized to satisfy the needs and desires, which are specific to each patient.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Samuel O. Ewalefo, Malcolm Dombrowski, Jorge L. Rocha, Mitchell Weaver, Alex Kline, Dwayne Carney & MaCalus V. Hogan

  2. Texas A&M College of Medicine, Bryan, TX, USA

    Samuel O. Ewalefo

  3. Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, TX, USA

    Takashi Hirase

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  1. Samuel O. Ewalefo
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  2. Malcolm Dombrowski
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  3. Takashi Hirase
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Correspondence to Samuel O. Ewalefo.

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This article is part of the Topical Collection on Foot and Ankle Trauma

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Ewalefo, S.O., Dombrowski, M., Hirase, T. et al. Management of Posttraumatic Ankle Arthritis: Literature Review. Curr Rev Musculoskelet Med 11, 546–557 (2018). https://doi.org/10.1007/s12178-018-9525-9

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