Management of early ankle osteoarthritis through anterior joint-preserving surgery: a retrospective evaluation at mid- t
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ORIGINAL ARTICLE
Management of early ankle osteoarthritis through anterior joint‑preserving surgery: a retrospective evaluation at mid‑ to long‑term follow‑up Massimiliano Mosca1 · Silvio Caravelli1 · Mario Fuiano1 · Simone Massimi1 · Danila Oldani2 · Laura Rossi2 · Alberto Grassi1 · Stefano Zaffagnini1 · Francesco Ceccarelil2 Received: 17 April 2020 / Accepted: 28 April 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Purpose Chronic anterior ankle pain is a recognized and straightforward characteristic of anterior impingement syndrome. This retrospective study aims to evaluate outcomes, clinical and radiological results in patients affected by anterior ankle impingement, in a context of early osteoarthritis, and treated with mini-open anterior ankle arthrolysis, in the perspective to delay or avoid other demolitive surgical options, such as total ankle replacement and joint fusion. Methods In total, 49 patients (50 feet, mean age 45 years) undergone mini-open anterior ankle arthrolysis for anterior impingement, fulfilled inclusion criteria and gave their consent and have been enlisted in the study. Patients were retrospectively reviewed with AOFAS ankle-hindfoot score and SF-36 score at a minimum follow-up of 36 months. Statistical analysis was performed. Results A marked improvement was noticed in terms of preoperative clinical score (mean AOFAS score 47.32 ± 17.89) compared to follow-up clinical score (mean AOFAS score 70.66 ± 16.62; p
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