Patient-related risk factors associated with poorer outcomes following total ankle arthroplasty

Abstract

AimsThis scoping review aims to identify patient-related factors associated with a poorer outcome following total ankle arthroplasty (TAA).MethodsA scoping review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A computer-based literature search was performed in PubMed, Embase, Cochrane trials, and Web of Science. Two reviewers independently performed title/abstract and full-text screening according to predetermined selection criteria. English-language original research studies reporting patient-related factors associated with a poorer outcome following TAA were included. Outcomes were defined as patient-reported outcome measures (PROMs), perioperative complications, and failure.ResultsA total of 94 studies reporting 101,552 cases of TAA in 101,177 patients were included. The most common patient-related risk factor associated with poorer outcomes were younger age (21 studies), rheumatoid arthritis (17 studies), and diabetes (16 studies). Of the studies using multivariable regression specifically, the most frequently described risk factors were younger age (12 studies), rheumatoid arthritis (eight studies), diabetes (eight studies), and high BMI (eight studies).ConclusionWhen controlling for confounding factors, the most commonly reported risk factors for poor outcome are younger age, rheumatoid arthritis, and comorbidities such as diabetes and increased BMI. These patient-related risk factors reported may be used to facilitate the refinement of patient selection criteria for TAA and inform patient expectations.Cite this article: Bone Joint J 2023;105-B(9):985–992.

Incidence of Septic Arthritis After Vancomycin Soaking of the Graft During Arthroscopic Anatomic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction

“…This rate is similar to that found in the literature. 1,34 Vancomycin soaking has been used in ACLR for nearly a decade. 2,24,30 The recent meta-analysis by Naendrup et al 20 confirmed the efficacy of this technique in the management of septic complications, with no infections found in the 2976 cases in the literature.…”

Foot & Ankle

“…Continuing on the theme of total ankle arthroplasty (TAA), we review an article by authors from Leicester (UK) , who undertook another systematic review to investigate the risk factors associated with poorer outcome following TAA. 6 Previous research has highlighted the short-term benefits but long-term complications and revision rates associated with TAA. It would therefore be beneficial for all if a personalized approach could be offered to patients potentially undergoing TAA.…”