Posttraumatic osteoarthritis: from basic science to clinical implications

Abstract. Posttraumatic osteoarthritis (PTOA) is a subset of osteoarthritis that occurs after joint injury and is associated with degradation of articular cartilage and subchondral bone. As compared with primary osteoarthritis, PTOA occurs in a time window initiated by a traumatic event resulting in...

Full description

Bibliographic Details
Main Authors: Justin M. Haller, MD, Marjolein C H. van der Meulen, PhD, Steven Olson, MD, Donald Anderson, PhD, J. Lawrence Marsh, MD, Zachary Working, MD
Format: Article
Language:English
Published: Wolters Kluwer 2023-05-01
Series:OTA International
Online Access:http://journals.lww.com/10.1097/OI9.0000000000000232
Description
Summary:Abstract. Posttraumatic osteoarthritis (PTOA) is a subset of osteoarthritis that occurs after joint injury and is associated with degradation of articular cartilage and subchondral bone. As compared with primary osteoarthritis, PTOA occurs in a time window initiated by a traumatic event resulting in damage to layers of joint structure and alterations in joint shape. As techniques in open reduction and internal fixation continue to mature, our success in preventing posttraumatic osteoarthritis has not kept pace. Advances in research in the subchondral bone, inflammatory response, and joint mechanics continue to open our understanding of this posttraumatic process. In addition, there are possibilities emerging as biological agents to therapeutically alter the progression of PTOA.
ISSN:2574-2167