{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T01:17:39Z","timestamp":1783646259693,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,8,27]],"date-time":"2013-08-27T00:00:00Z","timestamp":1377561600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Osteoarthritis (OA) is a slowly progressive joint disease. Joint distraction can be a treatment of choice in case of severe OA. Prediction of failure will facilitate implementation of joint distraction in clinical practice. Patients with severe ankle OA, who underwent joint distraction were included. Survival analysis was performed over 12 years (<jats:italic>n<\/jats:italic>\u2009=\u200925 after 12 years). Regression analyses were used to predict failures and clinical benefit at 2 years after joint distraction (<jats:italic>n<\/jats:italic>\u2009=\u2009111). Survival analysis showed that 44% of the patients failed, 17% within 2 years and 37% within 5 years after joint distraction (<jats:italic>n<\/jats:italic>\u2009=\u200948 after 5 years). Survival analysis in subgroups showed that the percentage failure was only different in women (30% after 2 years) versus men (after 11 years still no 30% failure). In the multivariate analyses female gender was predictive for failure 2 years after joint distraction. Gender and functional disability at baseline predicted more pain. Functional disability and pain at baseline were associated with more functional disability. Joint distraction shows a long\u2010term clinical beneficial outcome. However, failure rate is considerable over the years. Female patients have a higher chance of failure during follow\u2010up. Unfortunately, not all potential predictors could be investigated and other clinically significant predictors were not found. \u00a9 2013 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 32:96\u2013101, 2014.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jor.22475","type":"journal-article","created":{"date-parts":[[2013,8,27]],"date-time":"2013-08-27T06:34:52Z","timestamp":1377585292000},"page":"96-101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Patient characteristics as predictors of clinical outcome of distraction in treatment of severe ankle osteoarthritis"],"prefix":"10.1002","volume":"32","author":[{"given":"A.C.A.","family":"Marijnissen","sequence":"first","affiliation":[{"name":"Rheumatology &amp; Clinical Immunology UMC Utrecht P.O. Box 85500 3508 GA Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.C.L.","family":"Hoekstra","sequence":"additional","affiliation":[{"name":"Rheumatology &amp; Clinical Immunology UMC Utrecht P.O. Box 85500 3508 GA Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.C. du","family":"Pr\u00e9","sequence":"additional","affiliation":[{"name":"Rheumatology &amp; Clinical Immunology UMC Utrecht P.O. Box 85500 3508 GA Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.M.","family":"van Roermund","sequence":"additional","affiliation":[{"name":"Orthopaedics UMC Utrecht P.O. Box 85500 3508 GA Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"van Melkebeek","sequence":"additional","affiliation":[{"name":"Orthopaedics SPM Stevenslei 20 2100 Deurne Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Amendola","sequence":"additional","affiliation":[{"name":"Orthopaedics &amp; Rehabilitation The University of Iowa 200 Hawkins Drive, 01008 JPP Iowa City Iowa 52242"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Maathuis","sequence":"additional","affiliation":[{"name":"Orthopaedics UMC Groningen Oostersingel 59 9713 EZ Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.P.J.G.","family":"Lafeber","sequence":"additional","affiliation":[{"name":"Rheumatology &amp; Clinical Immunology UMC Utrecht P.O. 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