Patient Expectation and Satisfaction as Measures of Operative Outcome in End-Stage Ankle Arthritis

Younger, Alastair; Wing, Kevin; Glazebrook, Mark; Daniels, Timothy R.; Dryden, Peter; Lalonde, Karl-André; Wong, Hubert; Qian, Hong; Penner, Murray

doi:10.1177/1071100714565902

Cited by 72 publications

(58 citation statements)

References 33 publications

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“…Even treated appropriately, acute sprains often turn into chronic ankle instabilities (CAI) after recurrent sprains last for more than half a year. CAI includes a cluster of chronic symptoms characterized by recurrent sprains and ‘giving way’ feeling [ 1 , 2 ], comprising with obstinate joint pains or osteoarthritis, and often needs to perform surgery of arthroscopic debridement, ligament repairs or reconstructions, even ankle fusion or total ankle replacement [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

Posterolateral ankle ligament injuries affect ankle stability: a finite element study

Zhu

Liu

et al. 2016

BMC Musculoskelet Disord

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BackgroundWe have already discovered 23 patients during the work of the outpatient department and operations whose unstable signs on the posterolateral ankle. The anterior drawer test demonstrated normal during the physical examinations while the spaces of the posterior tibiotalar joints increased in stress X-ray plain films. ATFL intact and posterolateral ligaments lax were found during operations too. It is important to make existence claims and illuminate the mechanism of posterolateral ankle instability.MethodsA finite element model of the ankle was established for simulating to cut off posterolateral ligaments in turn. Ankle movements with tibia rotation under load on five forefoot positions were simulated as well.ResultsThe difference values with tibia external rotation were negative, and the positive results occurred with tibia internal rotation. The tibia-talus difference values in some forefoot positions were 2 ~ 3 mm after PTFL together with CFL or/and PITFL were cut off. The tibula-talus difference values were 2.21 ~ 2.76 mm after both PTFL and CFL were cut off. The tibia-fibula difference values were small. The difference values increased by 2 ~ 5 mm after cutting off the PITFL.ConclusionsPosterolateral ankle ligaments, especially CFL and PITFL, play a significant role in maintaining ankle stability. The serious injuries of both CFL and PITFL would affect posterolateral ankle stabilities. PITFL was important to subtalar joint stability.

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Section: Introductionmentioning

confidence: 99%

Posterolateral ankle ligament injuries affect ankle stability: a finite element study

Zhu

Liu

et al. 2016

BMC Musculoskelet Disord

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“…those undergoing arthrodesis and were more likely to report improved satisfaction scores postoperatively 21 . Postoperative "expectations met" and satisfaction scores were closely linked to AOS scores at the time of follow-up.…”

Section: Total Ankle Arthroplastymentioning

confidence: 98%

What’s New in Foot and Ankle Surgery

Yeranosian

2016

The Journal of Bone and Joint Surgery

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“…Patient expectation and satisfaction may be valuable measures for defining the success of an operative intervention [39,40], so we designed a part of questionnaire survey in our study Additional file 1. The expectation scores used in the present study were referred to the MODEMS scores, which are currently the only scores that are applicable to ankle outcomes [19].…”

Section: About Questionnaire Surveymentioning

confidence: 99%

Arthroscopic ankle fusion only has a limited advantage over the open operation if osseous operation type is the same: a retrospective comparative study

Wang

et al. 2020

J Orthop Surg Res

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Background: A great deal of research suggests that arthroscopic ankle fusion (AAF) has advantages over open ankle fusion (OAF), but these outcomes would be imprecise because of a selection bias. The purpose of this study is to verify which is better for ankle fusion, AAF or OAF. We regrouped the OAF group into two subgroups according to whether the osseous operation type is the same as AAF group. The goal is to minimize the impact of disease severity, thereby reducing selection bias to some extent. Methods: We retrospectively analyzed the data of ankle fusion in our hospital between July 2015 and October 2018. Forty-three patients were enrolled and divided into AAF group (n = 17) and OAF group (n = 26). In order to eliminate selection bias, we divided OAF group into complex osseous operation subgroup (COO subgroup) (n = 15) and simple osseous operation subgroup (SOO subgroup) (n = 11). The osseous operation type of SOO subgroup is the same as AAF group. Then, we compared the differences between these groups. All patients were followed up at least 1 year after operation. We analyzed data, including etiology composition, surgical time, intra-op blood loss, reduction of albumin, total hospital stays, union time, fusion situation, complications, radiological examination, functional score, and questionnaire survey. Then we performed statistical analyses. Results: We found that the etiological components of AAF group and OAF group were different; the etiological components of AAF group and SOO subgroup were similar. We found that AAF group has advantages over OAF group and COO subgroup in general. However, except in terms of surgical trauma, hospital stays, and short-term complications occurred, the AAF group has not obvious advantages over SOO subgroup, including intra-op blood loss, fusion condition, postoperative function score, and postoperative patient satisfaction; and AAF group need more surgical time than the SOO subgroup. Conclusions: The arthroscopic ankle fusion can bring a good curative effect; however, if the osseous operation type is the same, the arthroscopic ankle fusion only has a limited advantage over the traditional open operation in perioperative soft tissue protection and enhanced recovery after surgery.

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Patient Expectation and Satisfaction as Measures of Operative Outcome in End-Stage Ankle Arthritis

Abstract: Level II, prospective cohort study.

Cited by 72 publications

References 33 publications

Posterolateral ankle ligament injuries affect ankle stability: a finite element study

Posterolateral ankle ligament injuries affect ankle stability: a finite element study

What’s New in Foot and Ankle Surgery

Arthroscopic ankle fusion only has a limited advantage over the open operation if osseous operation type is the same: a retrospective comparative study

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