Progress in treatment of ankle osteoarthritis

doi:10.3877/cma.j.issn.1674-134X.2023.01.016

Abstract

Abstract:

Ankle is the main load-bearing joint of a human body. Ankle osteoarthritis (OA) can be induced by various causes such as injury and strain. It is a degenerative, chronic osteoarthropathy characterised by degenerative damage of articular cartilage and reactive hyperplasia of bone at edges of joint and sub-cartilage. The common clinical manifestations are chronic pain, tenderness and limited movement of ankle, as well as symptoms of ankle deformity and bone fricative, etc.. In an early ankle OA, conservative treatment is used, including exercise therapy, physiotherapies, non-steroidal anti-inflammatory drugs (NSAIDs), traditional Chinese medicine and interventional therapies such as intraarticular injection of drugs to relieve pains and delay the disease progression. For an advanced ankle OA, surgical treatment such as ankle arthrodesis, ankle arthroplasty and other surgeries are applied according to the affected ankle. At present, there have been ever more in-depth studies on injection of plateletvrich plasma (PRP), cartilage or periosteum graft and osteotomy in the treatment of ankle arthritis in early and middle stage. This article reviewed the progress in treatment of ankle osteoarthritis.

Key words: Ankle, Osteoarthritis, Therapeutics

Bing Wang, Lei Li, Guanjun Sun, Shanwu Li, Yongjie Ye. Progress in treatment of ankle osteoarthritis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(01): 111-118.

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