ArticleFoot & ankle orthopaedics2026
Pain-Related Impairment and Talar Tilt as Predictors of Surgical Decision Making in Advanced Varus Ankle Osteoarthritis.
Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Varus-type ankle osteoarthritis (OA) is often managed conservatively; however, surgical intervention is required in some patients. Identifying factors associated with transition to surgery may help optimize treatment timing. Methods: This retrospective study included 53 ankles in 45 patients with Takakura-Tanaka stage ≥3a varus ankle OA who newly initiated conservative treatment with lateral wedge insoles. Patients were classified into nonsurgery or surgery groups based on treatment choice. Multivariate logistic regression was performed using 12 clinical and radiographic variables, including Self-Administered Foot Evaluation Questionnaire (SAFE-Q) subscales and weightbearing radiographic parameters. Results: At baseline, lower pain-related SAFE-Q scores (odds ratio [OR], 0.854; 95% CI, 0.738-0.989; Conclusion: Baseline pain-related impairments and TTW deformities were associated with subsequent surgical selection in patients with advanced varus ankle OA. Level of Evidence: Level III, retrospective comparative cohort study.
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