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Ankle Osteoarthritis
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Ankle Osteoarthritis

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 20 May 2024 | Viewed by 6123

Special Issue Editor

Prof. Dr. Victor Valderrabano

E-Mail Website
Guest Editor
Swiss Ortho Center, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 15, 4010 Basel, Switzerland
Interests: orthopedic research; arthritis; sports; biomechanics

Special Issue Information

Dear Colleagues,

In this Special Issue, the readers will have the chance to receive an update on ankle osteoarthritis. Ankle osteoarthritis is a painful entity caused, in the majority of the cases, by a post-traumatic etiology, as a fracture or instability. The treatment shall be first conservative: painkillers, oral viscosupplementation, infiltrations, physiotherapy, orthoses, and special shoes. In the event of necessary surgery, joint-preserving surgery might deload the partially osteoarthritic joint. In full-osteoarthritis cases, a total ankle arthroplasty might be the next possible option, providing pain reduction, restoring joint function and giving better life quality to the patient. Ankle arthrodesis, as the traditional treatment of ankle osteoarthritis, shall be the final surgical treatment option.

Prof. Dr. Victor Valderrabano
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • ankle
  • osteoarthritis
  • fracture
  • instability
  • osteotomy
  • total ankle arthroplasty
  • ankle arthrodesis

Published Papers (2 papers)

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Research

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11 pages, 611 KiB  
Article
Long-Term Survival Analysis of 5619 Total Ankle Arthroplasty and Patient Risk Factors for Failure
by Sivakumar Allur Subramanian, Hyong Nyun Kim, SeongHyeon Kim, Jihyun Hwang, Dong I. Lee, Hye Chang Rhim, Sung Jae Kim, Lew Schon and Il-Hoon Sung
J. Clin. Med. 2024, 13(1), 179; https://doi.org/10.3390/jcm13010179 - 28 Dec 2023
Viewed by 914
Abstract
Background: Total ankle arthroplasty (TAA) has higher complication and failure rates compared to other surgical joint replacement procedures despite technological advances. This study aimed to find the long-term survivability of the TAA procedure and identify the patient risk factors for failure with one [...] Read more.
Background: Total ankle arthroplasty (TAA) has higher complication and failure rates compared to other surgical joint replacement procedures despite technological advances. This study aimed to find the long-term survivability of the TAA procedure and identify the patient risk factors for failure with one of the largest cohorts of patients in the literature. Methods: This retrospective cohort study involving cases between 2007 and 2018 analyzed patients who received an index primary TAA procedure in Korea. A total of 5619 cases were included in the final analysis. The TAA failure was defined as either a case with revision arthroplasty or a case with TAA implant removal and arthrodesis performed after primary TAA. Results: During the study period, the 5-year survival rate was 95.4% (95% CI, 94.7–96.1%), and the 10-year survival rate was 91.1% (95% CI, 89.1–93.1%). A younger age (<55 years, adjusted hazard ratio [AHR], 1.725; 55–64 years, AHR, 1.812; p < 0.001 for both), chronic pulmonary disease (AHR, 1.476; p = 0.013), diabetes (AHR, 1.443; p = 0.014), and alcohol abuse (AHR, 1.524; p = 0.032) showed a significantly high odds ratio for primary TAA failure in Cox regression analysis. Conclusion: The 10-year TAA survivorship rate was 91.1%. A younger age, chronic pulmonary disease, diabetes, and heavy alcohol consumption are risk factors for TAA. Full article
(This article belongs to the Special Issue Ankle Osteoarthritis)
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Review

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14 pages, 4128 KiB  
Review
Joint-Preserving Surgery in Varus Ankle Osteoarthritis
by Ahmad Alajlan, Simone Santini, Faisal Alsayel, Kar H. Teoh, Waheeb Alharbi, Luise Puls, Carlo Camathias, Mario Herrera-Pérez, Sergio Tejero, Alexej Barg, Martin Wiewiorski and Victor Valderrabano
J. Clin. Med. 2022, 11(8), 2194; https://doi.org/10.3390/jcm11082194 - 14 Apr 2022
Cited by 7 | Viewed by 3524
Abstract
Ankle deformity is a disabling condition especially if concomitant with osteoarthritis (OA). Varus ankle OA is one of the most common ankle OA deformities. This deformity usually leads to unequal load distribution in the ankle joint and decreases joint contact surface area, leading [...] Read more.
Ankle deformity is a disabling condition especially if concomitant with osteoarthritis (OA). Varus ankle OA is one of the most common ankle OA deformities. This deformity usually leads to unequal load distribution in the ankle joint and decreases joint contact surface area, leading to a progressive degenerative arthritic situation. Varus ankle OA might have multiple causative factors, which might present as a single isolated factor or encompassed together in a single patient. The etiologies can be classified as post-traumatic (e.g., after fractures and lateral ligament instability), degenerative, systemic, neuromuscular, congenital, and others. Treatment options are determined by the degree of the deformity and analyzing the pathology, which range from the conservative treatments up to surgical interventions. Surgical treatment of the varus ankle OA can be classified into two categories, joint-preserving surgery (JPS) and joint-sacrificing surgery (JSS) as total ankle arthroplasty and ankle arthrodesis. JPS is a valuable treatment option in varus ankle OA, which should not be neglected since it has showed a promising result, optimizing biomechanics and improving the survivorship of the ankle joint. Full article
(This article belongs to the Special Issue Ankle Osteoarthritis)
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