踝关节骨关节炎的分期、个体化治疗的研究进展
Stages of Ankle Osteoarthritis and Research Progress in Individualized Treatment
DOI: 10.12677/ACM.2024.141283, PDF,   
作者: 艾合拉木·吐尔艾力*, 赵 博, 王 雪：新疆医科大学第六附属医院骨病矫形(足踝)外科，新疆 乌鲁木齐；王成伟#：新疆医科大学附属肿瘤医院，新疆 乌鲁木齐
关键词: 踝关节炎；Takakura-Tanaka分期；分期治疗；Ankle Arthritis； Takakura-Tanaka Staging； Staging Treatment
摘要: 踝关节炎(OA)是引起踝关节疼痛、活动受限的重要因素。据统计，全球约1%的成年人长期遭受着踝关节炎带来的困扰，严重影响正常工作和生活。全民健身运动的兴起导致踝关节扭伤的高发，踝关节炎的发病率也随之上升。我国是人口大国，踝关节炎发生率更高，有更多的致残率，如何更精准地治疗踝关节骨炎，达到更好的治疗效果，是目前足踝外科医生关注的重要临床问题。本文根据Takakura分期对踝关节OA的分期、个体化治疗进展进行综述。
Abstract: Ankle arthritis (OA) is an important factor in ankle pain and limited mobility. According to statistics, about 1% of adults worldwide suffer from ankle arthritis for a long time, which seriously affects their normal work and life. The rise of the national fitness movement has led to a high incidence of ankle sprains, and the incidence of ankle arthritis has also increased. China is a country with a large population, the incidence of ankle arthritis is higher, there are more disability rates, how to treat ankle osteitis more accurately, to achieve better treatment effect, is an important clinical issue that foot and ankle surgeons pay attention to. This article reviews the staging and personalized treatment progress of ankle osteoarthritis based on Takakura staging.
文章引用：艾合拉木·吐尔艾力, 赵博, 王雪, 王成伟. 踝关节骨关节炎的分期、个体化治疗的研究进展[J]. 临床医学进展, 2024, 14(1): 2012-2020. https://doi.org/10.12677/ACM.2024.141283

参考文献

[1] Morrey, B.F. and Wiedeman, G.P. (1980) Complications and Long-Term Results of Ankle Arthrodeses Following Trauma. The Journal of Bone and Joint Surgery. American Volume, 62, 777-784. [Google Scholar] [CrossRef] 
[2] 张树, 张建中, 包贝西, 等. 踝关节炎的病因机制及相关研究进展[J]. 中华骨与关节外科杂志, 2015, 8(4): 352-358.
[3] Thomas, R.H. and Daniels, T.R. (2003) Ankle Arthritis. The Journal of Bone and Joint Surgery. American Volume, 85, 923-936. [Google Scholar] [CrossRef] [PubMed]
[4] Shepherd, D.E. and Seedhom, B.B. (1999) Thickness of Human Articular Cartilage in Joints of the Lower Limb. Annals of the Rheumatic Diseases, 58, 27-34. [Google Scholar] [CrossRef] [PubMed]
[5] Ritterman, S.A., Fellars, T.A. and Digiovanni, C.W. (2013) Current Thoughts on Ankle Arthritis. Rhode Island Medical Journal, 96, 30-33.
[6] Hendren, L. and Beeson, P. (2009) A Re-view of the Differences between Normal and Osteoarthritis Articular Cartilage in Human Knee and Ankle Joints. Foot (Edinb), 19, 171-176. [Google Scholar] [CrossRef] [PubMed]
[7] Herrera-Pérez, M., Valderrabano, V., Go-doy-Santos, A.L., et al. (2022) Ankle Osteoarthritis: Comprehensive Review and Treatment Algorithm Proposal. EFORT Open Reviews, 7, 448-459. [Google Scholar] [CrossRef] 
[8] Kraeutler, M.J., Kaenkumchorn, T., Pascu-al-Garrido, C., et al. (2017) Peculiarities in Ankle Cartilage. Cartilage, 8, 12-18. [Google Scholar] [CrossRef] [PubMed]
[9] Herrera-Pérez, M., González-Martín, D., Vallejo-Márquez, M., et al. (2021) Ankle Osteoarthritis Aetiology. Journal of Clinical Medicine, 10, Article No. 4489. [Google Scholar] [CrossRef] [PubMed]
[10] Adams, S.B., Setton, L.A., Bell, R.D., et al. (2015) Inflammatory Cyto-kines and Matrix Metalloproteinases in the Synovial Fluid after Intra-Articular Ankle Fracture. Foot & Ankle Internation-al, 36, 1264-1271. [Google Scholar] [CrossRef] [PubMed]
[11] Goldberg, A.J., Macgregor, A., Dawson, J., et al. (2012) The Demand Incidence of Symptomatic Ankle Osteoarthritis Presenting to Foot & Ankle Surgeons in the United Kingdom. Foot (Edinb), 22, 163-166. [Google Scholar] [CrossRef] [PubMed]
[12] Shibuya, N., Mcalister, J.E., Prissel, M.A., et al. (2020) Consensus Statement of the American College of Foot and Ankle Surgeons: Diagnosis and Treatment of Ankle Arthritis. The Jour-nal of Foot and Ankle Surgery, 59, 1019-1031. [Google Scholar] [CrossRef] [PubMed]
[13] Saltzman, C.L., Salamon, M.L., Blanchard, G.M., et al. (2005) Epi-demiology of Ankle Arthritis: Report of a Consecutive Series of 639 Patients from a Tertiary Orthopaedic Center. Iowa Orthopedic Journal, 25, 44-46.
[14] Valderrabano, V., Horisberger, M., Russell, I., et al. (2009) Etiology of Ankle Os-teoarthritis. Clinical Orthopaedics and Related Research®, 467, 1800-1806. [Google Scholar] [CrossRef] [PubMed]
[15] Palmer-Green, D.S., Batt, M.E. and Scammell, B.E. (2016) Sim-ple Advice for a Simple Ankle Sprain? The Not So Benign Ankle Injury. Osteoarthritis Cartilage, 24, 947-948. [Google Scholar] [CrossRef] [PubMed]
[16] Wilkinson, V.H., Rowbotham, E.L. and Grainger, A.J. (2016) Im-aging in Foot and Ankle Arthritis. Seminars in Musculoskeletal Radiology, 20, 167-174. [Google Scholar] [CrossRef] [PubMed]
[17] Hodgson, R.J., O’Connor, P.J. and Ridgway, J.P. (2012) Optimizing MRI for Imaging Peripheral Arthritis. Seminars in Musculoskeletal Radiology, 16, 367-376. [Google Scholar] [CrossRef] [PubMed]
[18] Kim, J.S., Amendola, A., Barg, A., et al. (2022) Summary Report of the Arthritis Foundation and the American Orthopaedic Foot & Ankle Society’s Symposium on Targets for Osteoarthritis Research: Part 1: Epidemiology, Pathophysiology, and Current Imaging Approaches. Foot & Ankle Orthopaedics, 7, 24730114221127011. [Google Scholar] [CrossRef] [PubMed]
[19] Stevens, P.M., Kennedy, J.M. and Hung, M. (2011) Guided Growth for Ankle Valgus. Journal of Pediatric Orthopaedics, 31, 878-883. [Google Scholar] [CrossRef] 
[20] 施忠民, 陈城. 踝关节炎的个性化、阶梯化治疗[J]. 中华医学杂志, 2020, 100(29): 2247-2250.
[21] Aaboe, J., Bliddal, H., Messier, S.P., et al. (2011) Effects of an Intensive Weight Loss Program on Knee Joint Loading in Obese Adults with Knee Osteoarthritis. Osteoarthritis Cartilage, 19, 822-828. [Google Scholar] [CrossRef] [PubMed]
[22] Tejero, S., Prada-Chamorro, E., González-Martín, D., et al. (2021) Conservative Treatment of Ankle Osteoarthritis. Journal of Clinical Medicine, 10, Article No. 4561. [Google Scholar] [CrossRef] [PubMed]
[23] 中华医学会骨科学分会关节外科学组, 中国医师协会骨科医师分会骨关节炎学组, 国家老年疾病临床医学研究中心(湘雅医院), 等. 中国骨关节炎诊疗指南(2021年版) [J]. 中华骨科杂志, 2021, 41(18): 1291-314.
[24] Godoy-Santos, A.L., Fonseca, L.F., et al. (2021) Ankle Osteoarthritis. Revista Brasileira de Ortopedia (Sao Paulo), 56, 689-696. [Google Scholar] [CrossRef] [PubMed]
[25] Primorac, D., Molnar, V., Matišić, V., et al. (2021) Comprehensive Review of Knee Osteoarthritis Pharmacological Treatment and the Latest Professional Societies’ Guidelines. Pharmaceuticals (Basel), 14, Article No. 205. [Google Scholar] [CrossRef] [PubMed]
[26] Calori, S., Comisi, C., Mascio, A., et al. (2023) Overview of Ankle Ar-thropathy in Hereditary Hemochromatosis. Medical Sciences (Basel), 11, Article No. 51. [Google Scholar] [CrossRef] [PubMed]
[27] Paget, L.D.A., Reurink, G., De Vos, R.J., et al. (2021) Effect of Platelet-Rich Plasma Injections vs Placebo on Ankle Symptoms and Function in Patients with Ankle Osteoarthritis: A Randomized Clinical Trial. JAMA, 326, 1595-1605. [Google Scholar] [CrossRef] [PubMed]
[28] Webner, D., Huang, Y. and Hummer, C.D. (2021) Intraarticular Hy-aluronic Acid Preparations for Knee Osteoarthritis: Are Some Better than Others? Cartilage, 13, 1619s-1636s. [Google Scholar] [CrossRef] [PubMed]
[29] Ewalefo, S.O., Dombrowski, M., Hirase, T., et al. (2018) Man-agement of Posttraumatic Ankle Arthritis: Literature Review. Current Reviews in Musculoskeletal Medicine, 11, 546-557. [Google Scholar] [CrossRef] [PubMed]
[30] Choi, S.W., Lee, G.W. and Lee, K.B. (2020) Arthroscopic Micro-fracture for Osteochondral Lesions of the Talus: Functional Outcomes at a Mean of 6.7 Years in 165 Consecutive An-kles. The American Journal of Sports Medicine, 48, 153-158. [Google Scholar] [CrossRef] [PubMed]
[31] Yabiku, H., Matsui, T., Sugimoto, T., et al. (2023) Relationship between the Morphology of Osteophytes and Cartilage Lesions in Anterior Ankle Impingement in Athletes: A Cross-Sectional Study. Journal of Foot and Ankle Research, 16, Article No. 31. [Google Scholar] [CrossRef] [PubMed]
[32] Osti, L., Del Buono, A. and Maffulli, N. (2016) Arthroscopic Debridement of the Ankle for Mild to Moderate Osteoarthritis: A Midterm Follow-Up Study in Former Professional Soccer Players. Journal of Orthopaedic Surgery and Research, 11, Article No. 37. [Google Scholar] [CrossRef] [PubMed]
[33] Taga, I., Shino, K., Inoue, M., et al. (1993) Articular Cartilage Le-sions in Ankles with Lateral Ligament Injury. An Arthroscopic Study. The American Journal of Sports Medicine, 21, 120-126. [Google Scholar] [CrossRef] [PubMed]
[34] Valdivia Zúñiga, C.A. and De Cicco, F.L. (2023) Osteochon-dral Allograft. StatPearls Publishing, Treasure Island.
[35] Nguyen, A., Ramasamy, A., Walsh, M., et al. (2019) Autol-ogous Osteochondral Transplantation for Large Osteochondral Lesions of the Talus Is a Viable Option in an Athletic Population. The American Journal of Sports Medicine, 47, 3429-3435. [Google Scholar] [CrossRef] [PubMed]
[36] Gaul, F., Tírico, L.E.P., Mccauley, J.C., et al. (2018) Long-Term Follow-Up of Revision Osteochondral Allograft Transplantation of the Ankle. Foot & Ankle International, 39, 522-529. [Google Scholar] [CrossRef] [PubMed]
[37] Fragomen, A.T. (2022) Ankle Distraction Arthroplasty (ADA, A Brief Review and Technical Pearls. Journal of Clinical Orthopaedics and Trauma, 24, Article ID: 101708. [Google Scholar] [CrossRef] [PubMed]
[38] Smith, N.C., Beaman, D., Rozbruch, S.R., et al. (2012) Evi-dence-Based Indications for Distraction Ankle Arthroplasty. Foot & Ankle International, 33, 632-636. [Google Scholar] [CrossRef] 
[39] Herrera-Perez, M., Alrashidi, Y., Galhoum, A.E., et al. (2019) Deb-ridement and Hinged Motion Distraction Is Superior to Debridement Alone in Patients with Ankle Osteoarthritis: A Pro-spective Randomized Controlled Trial. Knee Surgery, Sports Traumatology, Arthroscopy, 27, 2802-2812. [Google Scholar] [CrossRef] [PubMed]
[40] Fragomen, A.T., Mccoy, T.H., Meyers, K.N., et al. (2014) Mini-mum Distraction Gap: How Much Ankle Joint Space Is Enough in Ankle Distraction Arthroplasty? HSS Journal, 10, 6-12. [Google Scholar] [CrossRef] [PubMed]
[41] Bernstein, M., Reidler, J., Fragomen, A., et al. (2017) Ankle Distraction Arthroplasty: Indications, Technique, and Outcomes. Journal of the American Academy of Orthopaedic Sur-geons, 25, 89-99. [Google Scholar] [CrossRef] 
[42] Ahn, T.K., Yi, Y., Cho, J.H., et al. (2015) A Cohort Study of Patients Undergoing Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Wid-ening. The Journal of Bone and Joint Surgery. American Volume, 97, 381-388. [Google Scholar] [CrossRef] 
[43] Barg, A. and Saltzman, C.L. (2019) Joint-Preserving Procedures in Pa-tients with Varus Deformity: Role of Supramalleolar Osteotomies. Foot and Ankle Clinics, 24, 239-264. [Google Scholar] [CrossRef] [PubMed]
[44] Tanaka, Y., Takakura, Y., Hayashi, K., et al. (2006) Low Tibial Os-teotomy for Varus-Type Osteoarthritis of the Ankle. The Journal of Bone and Joint Surgery. British Volume, 88, 909-913. [Google Scholar] [CrossRef] 
[45] Hayes, B.J., Gonzalez, T.A., Smith, J.T., et al. (2016) Ankle Arthritis: You Can’t Always Replace It. Instructional Course Lectures, 65, 321-330. [Google Scholar] [CrossRef] 
[46] Lai, L., Wang, Y., Wu, Y., et al. (2022) Outcomes of Intermedi-ate Stage Varus Ankle Arthritis Treated by Supramalleolar Osteotomy. Journal of Orthopaedic Surgery (Hong Kong), 30, 10225536221132769. [Google Scholar] [CrossRef] [PubMed]
[47] Ferguson, Z., Anugraha, A., Janghir, N., et al. (2019) Ankle Arthrodesis: A Long Term Review of the Literature. Journal of Orthopaedics, 16, 430-433. [Google Scholar] [CrossRef] [PubMed]
[48] Townshend, D., Di, Silvestro, M., Krause, F., et al. (2013) Arthro-scopic versus Open Ankle Arthrodesis: A Multicenter Comparative Case Series. The Journal of Bone and Joint Surgery. American Volume, 95, 98-102. [Google Scholar] [CrossRef] 
[49] Yasui, Y., Vig, K.S., Murawski, C.D., et al. (2016) Open versus Ar-throscopic Ankle Arthrodesis: A Comparison of Subsequent Procedures in a Large Database. The Journal of Foot and Ankle Surgery, 55, 777-781. [Google Scholar] [CrossRef] [PubMed]
[50] Cody, E.A., Scott, D.J. and Easley, M.E. (2018) Total Ankle Ar-throplasty: A Critical Analysis Review. JBJS Reviews, 6, e8. [Google Scholar] [CrossRef] 
[51] Latham, W.C. and Lau, J.T. (2016) Total Ankle Arthroplasty: An Overview of the Canadian Experience. Foot and Ankle Clinics, 21, 267-281. [Google Scholar] [CrossRef] [PubMed]
[52] Chen, J., Wu, S., Li, Y., et al. (2022) Simultaneous Total Ankle Re-placement and Contralateral Ankle Arthrodesis for Bilateral Ankle Osteoarthritis: A Retrospective Study Focused on Clinical Outcomes and Cost-Effectiveness. Orthopaedic Surgery, 14, 1808-1816. [Google Scholar] [CrossRef] [PubMed]
[53] Lawton, C.D., Butler, B.A., Dekker, R.G., et al. (2017) Total Ankle Arthro-plasty versus Ankle Arthrodesis—A Comparison of Outcomes over the Last Decade. Journal of Orthopaedic Surgery and Research, 12, Article No. 76. [Google Scholar] [CrossRef] [PubMed]
[54] Sung, K.S., Ahn, J., Lee, K.H., et al. (2014) Short-Term Results of Total Ankle Arthroplasty for End-Stage Ankle Arthritis with Severe Varus Deformity. Foot & Ankle International, 35, 225-231. [Google Scholar] [CrossRef] [PubMed]

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