[Conservative treatment options for arthritis of the ankle : What is possible, what is effective?]

4区医学 Q2 Medicine

Unfallchirurg Pub Date : 2022-03-01 Epub Date: 2022-01-18 DOI:10.1007/s00113-021-01122-3

Jörg Jerosch

引用次数: 1

Abstract

In this article the causes of arthritis in the region of the ankle are introduced and the conservative treatment options are described and discussed more extensively. The risks of treatment with nonopioid analgesics (NOPA) are presented in detail. The topical use of nonsteroidal anti-inflammatory drugs (NSAID) should always be considered in the clinical routine. If contraindications for oral NSAIDs are present, intra-articular treatment is a meaningful option. The best evidence is currently available for viscosupplementation but the study situation for the use of platelet-rich plasma (PRP) is still not sufficiently comprehensive and there are only a few case reports on the use of mesenchymal stem cells..

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踝关节关节炎的保守治疗方案:哪些是可能的，哪些是有效的?]

在这篇文章中，关节炎在踝关节区域的原因介绍和保守治疗方案的描述和讨论更广泛。使用非阿片类镇痛药(NOPA)治疗的风险详细介绍。局部使用非甾体抗炎药(NSAID)应始终考虑在临床常规。如果存在口服非甾体抗炎药的禁忌症，关节内治疗是一个有意义的选择。目前可获得的最佳证据是用于补充黏液，但使用富血小板血浆(PRP)的研究情况仍然不够全面，只有少数使用间充质干细胞的病例报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Unfallchirurg 医学-急救医学

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Der Unfallchirurg is an internationally recognised publication organ. The journal deals with all aspects of accident surgery and reconstruction surgery and serves the continuing medical education of surgeons and accident surgeons with own practices and those working in hospitals. Practically-oriented works provide an overview on selected topics and offer the reader a summary of current findings from all fields of accident surgery. Besides the imparting of relevant background knowledge, the focus is on the assessment of scientific findings under consideration of practical experience. The reader is given concrete recommendations for his/her practical work.