Assessment of a Three-Grade Classification of Complications in Total Ankle Replacement

Gadd, R.; Barwick, Thomas W.; Paling, E; Davies, Mark B.; Blundell, Chris

doi:10.1177/1071100714524549

Cited by 54 publications

(30 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The revision rates of TAR are approximately 10%-17% at 5 years [38,40]. In the current cohort of STAR patients, implant survival at a minimum of 10 years of follow-up was high.…”

Section: Revision Of Tarmentioning

confidence: 68%

“…There are still some complications that the surgeon should treat carefully. The recorded complication rate of TAR was 23%, while intraoperative bone fracture and wound healing had a failure rate of at least 50% [38]. The short-term complications of TAR included intraoperative malleolar fractures and skin necrosis.…”

Section: Complicationsmentioning

confidence: 99%

“…Finally, low-grade complications are defined as intraoperative bone fractures and wound healing problems, which should be considered [41]. Recently, R.J. Gad thought that the three-grade classification system of complications did not reliably reflect practitioners' experiences, and they thus categorized complications as either high or low risk for the early failure of TAR [38].…”

Section: Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

The Current Trend of Total Ankle Replacement

Zhou¹,

Tang²

2016

Arthroplasty - A Comprehensive Review

View full text Add to dashboard Cite

Total ankle replacement (TAR) was introduced for end-stage arthritis of the ankle joint in the 1970s. TAR is becoming the modality of choice and offers better mobility, improved gait, and reduces the development of subsequent subtalar joint arthritis when compared with ankle arthrodesis. To maintain the longest function of ankle replacements, the design of the prosthesis should allow for smooth and continuous interaction and normal gait. Improved operative techniques, the surgeon's experience, as well as appropriate patient selection can anticipate better outcomes. Deformities of the ankle and foot should be corrected before TAR is performed. Despite the functional limitations following the revision of TAR, the revision still offers a cost-effective alternative to ankle arthrodesis. The decision to treat with TAR depends on the surgeon's technique, as well as on the patient's condition.

show abstract

“…The revision rates of TAR are approximately 10%-17% at 5 years [38,40]. In the current cohort of STAR patients, implant survival at a minimum of 10 years of follow-up was high.…”

Section: Revision Of Tarmentioning

confidence: 68%

Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

The Current Trend of Total Ankle Replacement

Zhou¹,

Tang²

2016

Arthroplasty - A Comprehensive Review

View full text Add to dashboard Cite

show abstract

“…Although TAA has been recently popularized worldwide, it is still accompanied by higher rates of complications compared with total hip and knee arthroplasties [1, 13–15]. Surgeon understanding of the complications and their risk factors is important to provide good clinical outcomes; however, there is limited evidence available in the literature about risk factors for perioperative complications after TAA.…”

Section: Introductionmentioning

confidence: 99%

Time trends and risk factors for perioperative complications in total ankle arthroplasty: retrospective analysis using a national database in Japan

Matsumoto

Yasunaga

Matsui

et al. 2016

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundTotal ankle arthroplasty (TAA) has become increasingly popular worldwide as an alternative to ankle arthrodesis for surgical treatment of end-stage ankle arthritis. The aim of this epidemiological study, using a national inpatient database in Japan, was to describe the volume, utilization, patient characteristics, and temporal trends regarding these procedures in Japan, and to identify the risk factors associated with perioperative adverse events in TAA.MethodsThis was a population-based, retrospective cohort study. We retrospectively identified 2775 patients in the Diagnosis Procedure Combination database who underwent ankle arthrodesis or TAA for ankle arthritis at 559 hospitals in Japan from 2007 to 2013. Information on sex, age, main diagnosis, use of blood transfusion, duration of anesthesia, length of hospital stay, in-hospital mortality, hospitalization costs, additional procedures after primary surgery, and use of negative pressure wound therapy was extracted. Multivariable logistic regression analysis was performed to analyze the effect of various factors on the incidence of perioperative adverse events in TAA, including additional procedure during hospitalization, negative pressure wound therapy, blood transfusion, and in-hospital death.ResultsWe identified 465 patients who underwent TAA and 2310 patients who underwent ankle arthrodesis. There was no apparent increase in the proportion of TAAs performed during the survey period. Patients undergoing TAA tended to be older, female, and have rheumatoid arthritis compared with those undergoing ankle arthrodesis. Patients undergoing TAA had shorter length of stay, higher hospitalization costs, and more blood transfusions compared with those undergoing ankle arthrodesis. Lower hospital volume and shorter anesthesia time were associated with higher rates of adverse events after TAA.ConclusionsDespite an increase in the popularity of TAA internationally, the number of TAAs performed remains low in Japan. Lower hospital volume and anesthesia time were associated with higher rates of perioperative adverse events after TAA.Level of evidenceIV, Cross-sectional study

show abstract

“…Häufig wird dies zusätzlich durch vorausgegangene Operationen verstärkt. Umstände, welche die Implantation der Sprunggelenkstotalendoprothese zu einer anspruchsvollen Operation mit einer langen Lernkurve machen [4] …”

unclassified

Frakturen bei Sprunggelenktotalendoprothese

Lietz¹,

Schenk²,

Lohmann³

2015

OP-JOURNAL

View full text Add to dashboard Cite

Zusammenfassung Periprothetische Frakturen k?nnen als Fr?h- oder als Sp?tkomplikation nach endoprothetischer Versorgung des oberen Sprunggelenks (OSG) auftreten. In der Literatur stellt die intraoperative Fraktur eine der h?ufigsten Fr?hkomplikationen dar, wobei die meisten Frakturen den medialen Malleolus betrafen und entsprechend osteosynthetisch versorgt wurden. Prognostisch f?hren diese Frakturen nur sehr selten zu einem sp?teren TEP-Versagen. Stressfrakturen als sp?te Komplikation nach OSG-TEP sind selten (0,5?2?%) und werden oft im Zusammenhang mit einem Malalignment, einer Instabilit?t, einer TEP-Lockerung oder falscher Implantatgr??e beschrieben. Sie f?hren fast immer zur Notwendigkeit einer Revisions-OP. Neben der Osteosynthese erfordern diese Frakturen eine eingehende Ursachenanalyse und entsprechende periprothetische Eingriffe und/oder Komponentenwechsel. Durch eine gute pr?operative Planung und optimale OP-Technik bei der Prim?rimplantation kann das Frakturrisiko, sowohl im Rahmen einer Fr?h- als auch einer Sp?tkomplikation vermindert werden.

show abstract

Assessment of a Three-Grade Classification of Complications in Total Ankle Replacement

Abstract: Level IV, case series.

Cited by 54 publications

References 15 publications

The Current Trend of Total Ankle Replacement

The Current Trend of Total Ankle Replacement

Time trends and risk factors for perioperative complications in total ankle arthroplasty: retrospective analysis using a national database in Japan

Frakturen bei Sprunggelenktotalendoprothese

Contact Info

Product

Resources

About