Can Ilizarov joint distraction delay the need for an arthrodesis of the ankle? A preliminary report

A. A. Van Valburg; P. M. Van Roermund; J. Lammens; J. Van Melkebeek; A. J. Verbout; F. P.J.G. Lafeber; J. W.J. Bijlsma

Can Ilizarov joint distraction delay the need for an arthrodesis of the ankle? A preliminary report

A. A. Van Valburg^*, P. M. Van Roermund, J. Lammens, J. Van Melkebeek, A. J. Verbout, F. P.J.G. Lafeber, J. W.J. Bijlsma

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

97 Citations (Scopus)

Abstract

We applied joint distraction using an Ilizarov apparatus in 11 patients with post-traumatic osteoarthritis of the ankle to try to delay the need for an arthrodesis. Distraction for three months resulted in clinical improvement in pain and mobility for a mean of two years, with an increase in the joint space. We considered that these effects may be produced by the absence of mechanical stress on the cartilage combined with the intra-articular hydrostatic pressures during distraction. We measured these pressures during walking with distraction, and found levels very similar to those reported to improve osteoarthritic cartilage when applied in vitro.

Original language	English
Pages (from-to)	720-725
Number of pages	6
Journal	Journal of Bone and Joint Surgery - Series B
Volume	77
Issue number	5
Publication status	Published - 1 Jan 1995

Cite this

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title = "Can Ilizarov joint distraction delay the need for an arthrodesis of the ankle? A preliminary report",

abstract = "We applied joint distraction using an Ilizarov apparatus in 11 patients with post-traumatic osteoarthritis of the ankle to try to delay the need for an arthrodesis. Distraction for three months resulted in clinical improvement in pain and mobility for a mean of two years, with an increase in the joint space. We considered that these effects may be produced by the absence of mechanical stress on the cartilage combined with the intra-articular hydrostatic pressures during distraction. We measured these pressures during walking with distraction, and found levels very similar to those reported to improve osteoarthritic cartilage when applied in vitro.",

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AU - Van Valburg, A. A.

AU - Van Roermund, P. M.

AU - Lammens, J.

AU - Van Melkebeek, J.

AU - Verbout, A. J.

AU - Lafeber, F. P.J.G.

AU - Bijlsma, J. W.J.

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N2 - We applied joint distraction using an Ilizarov apparatus in 11 patients with post-traumatic osteoarthritis of the ankle to try to delay the need for an arthrodesis. Distraction for three months resulted in clinical improvement in pain and mobility for a mean of two years, with an increase in the joint space. We considered that these effects may be produced by the absence of mechanical stress on the cartilage combined with the intra-articular hydrostatic pressures during distraction. We measured these pressures during walking with distraction, and found levels very similar to those reported to improve osteoarthritic cartilage when applied in vitro.

AB - We applied joint distraction using an Ilizarov apparatus in 11 patients with post-traumatic osteoarthritis of the ankle to try to delay the need for an arthrodesis. Distraction for three months resulted in clinical improvement in pain and mobility for a mean of two years, with an increase in the joint space. We considered that these effects may be produced by the absence of mechanical stress on the cartilage combined with the intra-articular hydrostatic pressures during distraction. We measured these pressures during walking with distraction, and found levels very similar to those reported to improve osteoarthritic cartilage when applied in vitro.

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JO - Journal of Bone and Joint Surgery - Series B

JF - Journal of Bone and Joint Surgery - Series B

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ER -

Can Ilizarov joint distraction delay the need for an arthrodesis of the ankle? A preliminary report

Abstract

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