Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 7, 994-998.
doi: 10.1302/0301-620X.85B7.13984  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text (PDF)
Right arrow Japanese
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fuchs, S.
Right arrow Articles by Chylarecki, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fuchs, S.
Right arrow Articles by Chylarecki, C.

Quality of life 20 years after arthrodesis of the ankle

A STUDY OF ADJACENT JOINTS

S. Fuchs, MD, Associate Professor; C. Sandmann, MD, Resident; A. Skwara, MD, Resident; and C. Chylarecki, MD, Orthopaedic Surgeon and Head of Department of Trauma Surgery

Department of Orthopaedics, University Hospital Münster, Albert Schweitzer Strasse 33, 48129 Münster, Germany.

Correspondence should be sent to Dr S. Fuchs.

Tibiotalar fusion is considered to be the standard treatment for end-stage post-traumatic arthritis of the ankle. We report a retrospective, objective long-term study of the quality of life of 17 patients with 18 arthrodeses of the ankle, over a period of more than 20 years. We looked particularly for correlation between clinical and radiological signs of osteoarthritis in adjoining joints. At serial physical examinations, clinical grades were awarded according to the Olerud Molander Ankle (OMA) score. Any degree of degenerative change in the adjoining joints was recorded on standing radiographs. Patients filled out a SF-36 Health Survey form.

Subjectively, 50% of patients were not handicapped in the performance of daily activities and 44% were in the same job as at the time of injury. At follow-up the mean OMA score was 59.4 points, the visual analogue scale was 1.99 and the radiological score was 2.7. The SF-36 for physical function, emotional disturbance and bodily pain revealed significant deficits. There was a significant correlation between the OMA and the radiological score (p = 0.05), and between the clinical and the SF-36 score (p = 0.01), but no significant correlation between the radiological score and the SF-36 score.

Arthrodesis of the ankle leads to deficits in the functional outcome, to limitations in the activities of daily living and to radiological changes in the adjoining joints. The clinical outcome score correlates closely with the SF-36 score.




This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
B. D. Sheridan, D. E. Robinson, M. J. W. Hubble, and I. G. Winson
Ankle arthrodesis and its relationship to ipsilateral arthritis of the hind- and mid-foot
J Bone Joint Surg Br, February 1, 2006; 88-B(2): 206 - 207.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
I. G. Winson, D. E. Robinson, and P. E. Allen
Arthroscopic ankle arthrodesis
J Bone Joint Surg Br, March 1, 2005; 87-B(3): 343 - 347.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General