Randeep S. Aujla, Ganapathy Perianayagam, Bobby M. Siddiqui, Pip Divall, Maneesh Bhatia
{"title":"Distal tibial osteotomy for varus ankle arthritis: A meta-analysis and systematic review","authors":"Randeep S. Aujla, Ganapathy Perianayagam, Bobby M. Siddiqui, Pip Divall, Maneesh Bhatia","doi":"10.1016/j.jajs.2021.04.009","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Joint preserving surgical options are essential in modern orthopaedic care. The aim of this study was to review current literature about distal tibial </span>osteotomies<span> for varus osteoarthritis<span> of the ankle joint. A clinical librarian searched electronic from inception to August 2019 using standard terms. Studies that assessed distal tibial osteotomy outcomes (clinical, radiological and complications) in the treatment of varus ankle osteoarthritis with a minimum of one-year follow-up. The search identified 968 studies. Duplicates (225) were removed. On applying inclusion/exclusion criteria to title and abstract review 686 papers were excluded. 57 full-texts were reviewed and a further 45 were excluded. Twelve papers underwent quality assessment and finally only nine included. The nine papers underwent full data extraction and inclusion within the study. Pain scores (VAS) improved in all studies examined. Mean pooled pre-operative VAS was 7.0 and post-operative VAS was 2.5. These results were for 166 ankles. Mean pooled Pre- and post-operative AOFAS scores available for nine studies showed an improvement from 57.7 to 83.6 for 242 ankles. Satisfaction rates were 89.1% from four studies, including 92 ankles. Out of the total number of osteotomies (242) there were four (1.7%) patients who underwent total </span></span></span>ankle arthroplasty<span> and five (2.1%) who had arthrodesis at mean follow-up of 45 months (range; 21–99). Distal tibial osteotomy can provide significant pain relief and improvement in functional scores. Satisfaction is high with a low level of complications. It is a viable option for joint preservation in carefully selected patients.</span></p></div>","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jajs.2021.04.009","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Arthroscopy and Joint Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221496352100047X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Joint preserving surgical options are essential in modern orthopaedic care. The aim of this study was to review current literature about distal tibial osteotomies for varus osteoarthritis of the ankle joint. A clinical librarian searched electronic from inception to August 2019 using standard terms. Studies that assessed distal tibial osteotomy outcomes (clinical, radiological and complications) in the treatment of varus ankle osteoarthritis with a minimum of one-year follow-up. The search identified 968 studies. Duplicates (225) were removed. On applying inclusion/exclusion criteria to title and abstract review 686 papers were excluded. 57 full-texts were reviewed and a further 45 were excluded. Twelve papers underwent quality assessment and finally only nine included. The nine papers underwent full data extraction and inclusion within the study. Pain scores (VAS) improved in all studies examined. Mean pooled pre-operative VAS was 7.0 and post-operative VAS was 2.5. These results were for 166 ankles. Mean pooled Pre- and post-operative AOFAS scores available for nine studies showed an improvement from 57.7 to 83.6 for 242 ankles. Satisfaction rates were 89.1% from four studies, including 92 ankles. Out of the total number of osteotomies (242) there were four (1.7%) patients who underwent total ankle arthroplasty and five (2.1%) who had arthrodesis at mean follow-up of 45 months (range; 21–99). Distal tibial osteotomy can provide significant pain relief and improvement in functional scores. Satisfaction is high with a low level of complications. It is a viable option for joint preservation in carefully selected patients.
期刊介绍:
Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.