Complications and Failure After Total Ankle Arthroplasty

Spirt, Adrienne A.; Assal, Mathieu; Hansen, Sigvard T.

doi:10.2106/00004623-200406000-00008

Cited by 346 publications

(265 citation statements)

References 13 publications

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“…Our data showed no difference in length of stay between females and males and a similar number and type of complications between genders. In agreement with our study, numerous reports have found no difference in complications between females and males after total joint arthroplasty [16,24,29].…”

Section: Discussionsupporting

confidence: 93%

Patient Perceived Outcomes After Primary Hip Arthroplasty: Does Gender Matter?

Lavernia

Alcerro

Contreras

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Total hip arthroplasty (THA) provides high functional scores and long-term survivorship. However, differences in function and disability between men and women before and after arthroplasty are not well understood. Questions/purposes We determined if there was a gender difference in patient-perceived functional measures and range of motion in primary THA. Methods We retrospectively studied 532 patients (658 hips) undergoing primary THA. A total of 59% were women and 41% were men. Patients were assessed preoperatively and at minimum 2 years using Quality of Well-being, SF-36, WOMAC, and Harris hip score. We determined if differences existed between genders before and at followup for all dependent measures. Independent t-tests were also used to determine differences between genders concerning the change (D) scores and hip range of motion. The time course of perceived functional recovery was also documented.

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Section: Discussionsupporting

confidence: 93%

Patient Perceived Outcomes After Primary Hip Arthroplasty: Does Gender Matter?

Lavernia

Alcerro

Contreras

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…The rates for individual prostheses are comparable, however. With the Agility prosthesis, the failure rate of 9/117 ankles (8%) with a mean follow-up of 33 months compares favorably with the 11% (with a mean follow up of 33 months) previously reported for a series of 306 consecutive TARs (Spirt et al 2004) and is similar to that for an Agility series reported by the designer of the prosthesis Conti 2006, Knecht et al 2004). …”

Section: Discussionsupporting

confidence: 77%

A New Zealand national joint registry review of 202 total ankle replacements followed for up to 6 years

et al. 2007

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Background and purpose There have been few reports of large series of ankle replacements. The aim of this study was to document and evaluate the early results of a nationwide series of total ankle replacements (TARs) performed using second-and third-generation implants.Methods Records of total ankle replacements performed between February 2000 and November 2005 were retrieved from the New Zealand National Joint Registry and retrospectively reviewed at a mean of 28 months after the primary procedure. At 6 months post surgery, patient scores were generated from questionnaires. Comparisons between patient scores and categorical variables were made using ANOVA. Regression analyses using Cox proportional-hazards modeling were performed to determine predictors of failure. A Kaplan-Meier survivorship curve was used to describe the rate of prosthetic survival.Results 202 total ankle replacements were performed in 183 patients. 14 prostheses (7%) failed. The overall cumulative 5-year failure-free rate was 86%. An unfavorable patient score at 6 months after the initial procedure turned out to be a good predictor of subsequent failure. The cumulative 5-year failure-free rate was 65% at 5 years for patients with an unfavorable score, and 95% for those who had a favorable patient score. Each 1-point increase in the patient score (i.e. poorer outcome) corresponded to a 5% relative increase in the risk of failure (p < 0.05). In addition, longer operative time for the primary procedure was found in the group of TARs that subsequently failed (p < 0.05).Interpretation The National Joint Registry appears to be a useful tool for monitoring the trends in TAR surgery.

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“…sis removal in the talus, since some authors have reported that the talar component is more liable to failure than the tibial component (Buechel et al 2003, Knecht et al 2004, Spirt et al 2004). Moreover, for the subtalar and talonavicular joints, no reliable arthroplasty option exists at present.…”

Section: Discussionmentioning

confidence: 99%