Joint Distraction in Advanced Osteoarthritis of the Ankle

replacement (TAR) in patients with advanced ankle osteoarthritis (OA). AJD could a tenable option to ankle fusion orTAR.Methods: A review has been performed on the role of AJD in advanced OA of the ankle. The exploration machinewas MedLine. The keywords utilized were: joint distraction ankle. Three hundred and eleven articles were found. Ofthe above-mentioned, only 14 were chosen and analyzed because they were rigorously focused on the issue and thequestion of this paper.Results: Forty-seven patients met inclusion criteria with 15 in the acute RSA group and 32 in the secondary RSA group.The acute RSA group demonstrated better external rotation (28˚) than the secondary RSA group (18˚, P=0.0495). Theacute RSA group showed a trend towards better Single Assessment Numeric Evaluation (SANE) scores. Tuberosityhealing rate was higher in the acute RSA group.Conclusion: The types of articles published until now have a poor level of evidence (levels III and IV). The overallnumber of patients managed until now by way of AJD is 249. The published mean follow-up is very variable, from 1year to 12 years. The rate of good outcomes ranged between 73% and 91%. The percentage of failure (final anklearthrodesis or TAR) ranged between 6.2% and 44%. A minimum of 5.8 mm of distraction gap must be achieved. Anklefunction after AJD deteriorates over time. Putting together ankle movement and distraction will result in an early andmaintained profitable influence on outcome.

Keywords:

Ankle , failures , joint distraction , Osteoarthritis , Results