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Abstract Background: Osteoarthritis is a progressive, degenerative disease involving different joints of the body, including the ankle. OA characterized by joint pain, tenderness, crepitus, inflammation, effusion, and restricted range of motion. Distraction Arthroplasty of the ankle is one of the joint preservation surgeries for treatment of ankle osteoarthritis. It has demonstrated promise in its ability to reduce pain and delay the need for arthrodesis and total ankle replacement. Aims: The study aims to review and discuss the latest advances concerning distraction arthroplasty of the ankle joint in management of ankle osteoarthritis until February 1, 2016. Methodology: Results of Distraction Arthroplasty of the Ankle. Several series have been published illustrating the effects of joint distraction on ankle osteoarthritis. Patient evaluation for distraction arthroplasty of the ankle includes a thorough history and physical examination. The patient should be compliant and motivated to facilitate recovery and frame care. In addition, overall good general condition without diabetes, smoking, vascular disease and neuropathy or other medical comorbidities affecting the patient’s function are a pre-requisite for distraction arthroplasty of the ankle. Conclusion: Joint distraction is a viable treatment for ankle arthritis in the younger patient. However, further randomized controlled studies with longer follow-up duration are needed to evaluate this technique. To compare the efficacy of distraction arthroplasty alone to distraction arthroplasty combined with open or arthroscopic debridement. Moreover, to compare distraction arthroplasty to isolated open or arthroscopic ankle debridement. Keywords: Distraction, Arthroplasty, ankle joint, Osteoarthritis, ilizarov, trauma. |