{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:07:58Z","timestamp":1789402078139,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Ankle osteoarthritis severely impacts patients' mental and physical quality of life. Besides total ankle replacement and ankle arthrodesis, ankle distraction has been shown to be a promising alternative. The primary aim of the present study was to determine the annual revision rates (ARRs) after ankle distraction. The secondary aim was to obtain an overview of patient\u2010reported outcome measures and functional outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A literature search until November 2023 was performed. Methodological quality was assessed using the methodological index for non\u2010randomised studies\u00a0criteria. Primary outcome was the ARR which was log\u2010transformed and pooled using a random effects model. Secondary outcomes were pooled using a simplified pooling technique and included the American Orthopaedic Foot &amp; Ankle Society Ankle\u2010Hindfoot Scale (AOFAS), range of motion (ROM)\u00a0and post\u2010operative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The literature search resulted in 287 articles, of which 10 studies, comprising 602 patients, were included. The patients had a pooled mean age of 47 years (range of means: 40\u201368) and a mean follow\u2010up of 35 months (range of means: 24\u201348). The overall methodological quality was moderate to fair. The pooled ARR after ankle distraction was 4% (95% confidence interval [CI], 3%\u20137%). Pooling of AOFAS showed mean 26\u2010point improvement (from 54 to 80). Additionally, ROM dorsiflexion improved at 5\u00b0, and the plantarflexion remained at 31\u00b0. The overall complication rate was 41% (95% CI, 35%\u201348%), of which 77% (95% CI, 67%\u201385%) were pin\u2010tract infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ankle distraction results in an ARR of 4% (95% CI, 3%\u20137%) with clinically relevant improved AOFAS scores. The overall complication rate is 41% and is mainly attributable to treatable pin\u2010tract infections (77% of recorded complications).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, Systematic Review and Meta\u2010Analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12049","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T08:28:26Z","timestamp":1706689706000},"page":"344-351","source":"Crossref","is-referenced-by-count":0,"title":["Low annual revision rate in ankle distraction for ankle osteoarthritis: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8345-1648","authenticated-orcid":false,"given":"Julian J.","family":"Hollander","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam Movement Sciences Amsterdam UMC, Location AMC Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0062-9701","authenticated-orcid":false,"given":"Liam D. A.","family":"Paget","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam Movement Sciences Amsterdam UMC, Location AMC Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2227-3195","authenticated-orcid":false,"given":"Jari","family":"Dahmen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam Movement Sciences Amsterdam UMC, Location AMC Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7630-7645","authenticated-orcid":false,"given":"Tobias","family":"Stornebrink","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam Movement Sciences Amsterdam UMC, Location AMC Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8134-5419","authenticated-orcid":false,"given":"Quinten G. H.","family":"Rikken","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, Amsterdam Movement Sciences Amsterdam UMC, Location AMC Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010based Sports medicine (ACES) Amsterdam UMC Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0924-9358","authenticated-orcid":false,"given":"Inger N.","family":"Sierevelt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Xpert Clinics Amsterdam The Netherlands"},{"name":"Department of Orthopedic Surgery Spaarne Gasthuis Academy Hoofddorp The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M. M. 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