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Ankle distraction arthroplasty (ADA): A brief review and technical pearls. | LitMetric

Ankle distraction arthroplasty (ADA): A brief review and technical pearls.

J Clin Orthop Trauma

Limb Lengthening and Complex Reconstruction Service, The Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Published: January 2022

AI Article Synopsis

  • Ankle distraction arthroplasty (ADA) aims to promote healing in arthritic joints by relieving mechanical stress, particularly benefiting those with osteoarthritis who aren't ready for more invasive surgeries.
  • The procedure is straightforward, preserves joint mobility, and can be enhanced with biological therapies for better joint regeneration.
  • While complications from ADA are generally minor, more serious risks are manageable; it can also be effectively combined with supramalleolar osteotomy, although careful analysis and planning are needed.

Article Abstract

Ankle distraction arthroplasty (ADA) is a procedure based on the concept that mechanical unloading of an arthritic joint will initiate a healing response in the subchondral bone and articular cartilage. ADA utilizes the patient's own healing response, preserves joint motion, and is a great option for patients with osteoarthritis who are not ready for prosthetic arthroplasty or fusion. The procedure is well described and technically simple and adjunctive biologic therapies are exciting for joint regeneration. Complications are minor, and more serious adverse events are avoidable. Supramalleolar osteotomy pairs well with ankle distraction but requires some analysis and planning.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8639464PMC
http://dx.doi.org/10.1016/j.jcot.2021.101708DOI Listing

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