Conservative treatment of asymmetric ankle osteoarthritis.

Timo Schmid, Fabian G Krause

Journal: Foot and ankle clinics 2014;18(3):437-48

PMID: 24008210

Full Text on Elsevier Science View on PubMed

Abstract

This review article summarizes the currently available (poor) evidence of conservative treatment of asymmetric ankle osteoarthritis in the literature and adds the authors' experience with the particular technique. The use of dietary supplementation, viscosupplementation, platelet-rich plasma, nonsteroidal anti-inflammotory drugs, corticosteroid injections, physical therapy, shoe modifications and orthoses, and patient's education in asymmetric ankle osteoarthritis is outlined. There definitively is a place for conservative treatment with reasonable success in patients whose ankles do not qualify anymore for joint-preserving surgery and in patients with medical or orthopedic contraindications for realignment surgery, total ankle replacement, and ankle arthrodesis.

Address: Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Berne 3010, Switzerland.

DOI: 10.1016/j.fcl.2013.06.003

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MeSH Terms: Ankle Joint, Humans, Osteoarthritis, Range of Motion, Articular, Treatment Outcome