Reviving the debate: Articular cartilage preservation during disarticulation at the lower limb? A systematic review.
Foot Ankle Surg
; 27(3): 246-251, 2021 Apr.
Article
in En
| MEDLINE
| ID: mdl-33388250
ABSTRACT
BACKGROUND:
The need for preservation(P) or removal(R) of articular cartilage during disarticulations remains unanswered.METHODS:
Medline database was used to conduct a systematic review regarding all types of minor disarticulations and some types of major disarticulations in patients with diabetes mellitus, peripheral arterial disease or trauma related disarticulations. Fisher-exact statistical test was used to perform calculations for the entire group as for subgroups.RESULTS:
A total of 444 disarticulations at the Chopart joint, ankle and knee were included (P = 255 vs. R = 189). There was no difference in wound healing, functionality and mortality. Reamputation rate was lower in the P-group (9.4% vs. 16.9%). Infection rate was not significantly different. Differences in reamputations (R = 10.6% vs. P = 1.0%) and infections (R = 4.4% vs. P = 22.6%) were only present for the ankle subgroup.CONCLUSIONS:
There is no difference in wound healing, functionality and mortality between the preservation and removal of articular cartilage in the lower limb.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cartilage, Articular
/
Diabetic Foot
/
Disarticulation
/
Knee Joint
/
Ankle Joint
Type of study:
Observational_studies
/
Prognostic_studies
/
Systematic_reviews
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Foot Ankle Surg
Journal subject:
ORTOPEDIA
Year:
2021
Document type:
Article