Outcomes Following Total Ankle Arthroplasty

Jeyaseelan, Luckshmana; Park, Sam Si-Hyeong; Alrumaih, Husam A.; Veljkovic, Andrea; Penner, Murray; Wing, Kevin; Younger, Alastair

doi:10.1016/j.ocl.2019.06.004

Cited by 37 publications

(12 citation statements)

References 37 publications

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“…In our study with 2157 patients, the early failure rate after primary TAA was 9.1%. The reported survival rate is higher than 78% of literature reviews 12 and similar to 81-92.9% of recent studies 4,7,13,14 . The difference between the early failure rate and overall survival rate may have influenced the inconsistent results.…”

Section: Discussionsupporting

confidence: 83%

“…Poorer results from [2010][2011][2012][2013][2014][2015][2016][2017][2018]. The variations in the registry designs, the study populations, and the failure of accurate recording could explain the conflicting results of prior studies 13 . Patient risk factors for early revision were already studied in total hip arthroplasty (THA) and total knee arthroplasty (TKA) 15 and can be extrapolated.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of early failure rate and its risk factor with 2157 total ankle replacements

Lee

Song

et al. 2021

Sci Rep

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The failure rate of TAA is still higher than that of other joint replacement procedures. This study aimed to calculate the early failure rate and identify associated patient factors. Data from the Korean Health Insurance Review and Assessment Service database from 2009 to 2017 were collected. We evaluated patients who had TAA as a primary surgical procedure. Early failure was defined as conversion to revision TAA or arthrodesis after primary TAA within five years. Patients with early failure after primary TAA were designated as the “Failure group”. Patients without early failure and who were followed up unremarkably for at least five years after primary TAA were designated as the “No failure group”. Overall, 2157 TAA participants were included. During the study period, 197 patients developed failure within five years postoperatively, for an overall failure rate of 9.1%. Significant risk factors for early failure were history of chronic pulmonary disease, diabetes, peripheral vascular disease, hyperlipidemia, dementia, and alcohol abuse. A significant increase of odds ratio was found in patients with a history of dementia, chronic pulmonary disease, and diabetes. Surgical indications and preoperative patient counseling should consider these factors.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Analysis of early failure rate and its risk factor with 2157 total ankle replacements

Lee

Song

et al. 2021

Sci Rep

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“…Studies examining survivorship of TAR based on multiple national joint registries have found 10-year survivorships in the range of approximately 70% to 90%, with some dependence on surgeon experience. 5,6,21 The most common reason for implant failure requiring revision is aseptic loosening. 39 Other complications include periprosthetic fracture, stress reaction, subsidence, expansile osteolysis, polyethylene liner fracture/displacement, infection, gutter impingement, adjacent joint degeneration, and heterotopic ossification.…”

Section: Mr Imaging Techniquementioning

confidence: 99%

The Utility of Isotropic 3D Magnetic Resonance Imaging in Assessing Painful Total Ankle Replacements

Lin

Sofka

Demetracopoulos

et al. 2022

Foot & Ankle Orthopaedics

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“…Ankle arthritis is a disabling condition associated with pain, stiffness, and loss of function and mobility. 12,30 The commonly reported incidence in ankle is post-traumatic arthritis, 27 followed by degenerative arthritis or systemic arthritis. Total ankle replacement (TAR) has emerged as an effective alternative treatment to ankle arthrodesis for relief of arthritic pain and disability.…”

Section: Introductionmentioning

confidence: 99%

“…Total ankle replacement (TAR) has emerged as an effective alternative treatment to ankle arthrodesis for relief of arthritic pain and disability. 12 There are increasing number of studies on medium- and long-term outcomes of second-generation TAR implant designs. 15 Integrated patient-reported outcomes (PROMs) data collection for national and local hospital joint registries provide us with insight into outcomes of operative procedures and patient satisfaction and serve as an evaluation tool for patient-centered care.…”

Section: Introductionmentioning

confidence: 99%

Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years?

Ramaskandhan

Smith

Kometa

et al. 2021

Foot & Ankle Orthopaedics

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Background: Patient-reported outcomes (PROMs) are an integral part of national joint registers in measuring outcomes of operative procedures and improving quality of care. There is lack of literature comparing outcomes of total ankle replacement (TAR) to total knee replacement (TKR) and total hip replacement (THR). The aim of this study was to compare PROMs between TAR, TKR, and THR patient groups at 1, 5, and 10 years. Methods: Prospective PROMs from patients who underwent a TAR, TKR, or THR procedure between 2003 and 2010 were studied. Patients were divided into 3 groups based on their index joint replacement (hip, knee, or ankle). Patient demographics (age, gender, body mass index), patient-reported outcome scores (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], 36-Item Short Form Health Survey [SF-36]) and patient satisfaction scores (4-point Likert scale) at follow-up were compared between the 3 groups. Results: Data was available on 1797 THR, 2475 TKR, and 146 TAR patients. TAR patients were younger and reported fewer number of comorbidities. All 3 groups improved significantly from preoperative to 10 years for WOMAC scores ( P < .001). For SF-36 scores at 10 years, the THR group (32.2% follow-up) scored the highest for 3 domains ( P = .031) when compared to the TKR group (29.1% follow-up). All 3 groups had similar outcomes for 5 of 8 domains; P < .05). For patient satisfaction, the THR group reported overall 95.1% satisfaction followed by 89.8% for the TKR group and 83.9% in the TAR group (42.4% follow-up). Conclusion: In this cohort with diminishing numbers over the decade of time the patients were followed up we found that patients are equally happy with functional and general health outcomes from total ankle replacement vs other major lower extremity joint replacement. TAR surgery should be considered as a viable treatment option in this patient group. Level of Evidence: Level III, retrospective case series.

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Outcomes Following Total Ankle Arthroplasty

Cited by 37 publications

References 37 publications

Analysis of early failure rate and its risk factor with 2157 total ankle replacements

Analysis of early failure rate and its risk factor with 2157 total ankle replacements

The Utility of Isotropic 3D Magnetic Resonance Imaging in Assessing Painful Total Ankle Replacements

Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years?

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