The Effect of Goniometric Alignment on Passive Ankle Dorsiflexion Range of Motion among Patients Following Ankle Arthrodesis or Arthroplasty

Conley, Kelly A.; Geist, Kathleen; Shaw, Jonathan N.; Labib, Sameh A.; Johanson, Marie A.

doi:10.1177/1938640012444731

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…Similar to an earlier study, sign of knee hyperextension at terminal stance was also seen in the AAD group in this study [20]. Compensatory motion at the subtalar and midtarsal joints contribute to the amount of ankle dorsiflexion obtained by goniometric measurements and gait analysis [21] and RoM even seems to increase with time after arthrodesis [22]. A compensatory increase of the combined subtalar and medial column motion of 11 % was reported with time after tibiotalar fusion, which also had a positive association of quality of life with increased compensatory motion of the hindfoot and midfoot [22].…”

Section: Discussionsupporting

confidence: 73%

Are our expectations bigger than the results we achieve? A comparative study analysing potential advantages of ankle arthroplasty over arthrodesis

Braito

Dammerer

Kaufmann

et al. 2014

International Orthopaedics (SICOT)

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Purpose Prior studies have reported improved gait performance and kinematics after total ankle arthroplasty (TAR) compared to ankle arthrodesis (AAD). Given these findings, AAD has been primarily considered as a salvage procedure that may lead to adjacent joint degeneration. Methods A total of 101 TAR and 40 screw arthrodeses were enrolled in a retrospective study with a prospectively designed follow-up examination that included gait analysis and outcome assessment with the AOFAS hindfoot score and FAOS questionnaire. Results Significant asymmetry in gait and reduced range of motion compared to normal remained after both procedures. Subjective outcome improved after both procedures, and pain was significantly better after TAR. Limited functional gains after TAR and joint degeneration to the same degree after both procedures was seen in the mid-term. Hindfoot fusion seemed to have a greater impact on postoperative function than ankle arthrodesis. Conclusion Considering only minor functional gains of TAR compared to AAD the implantation of current TAR designs in large patient series may be questioned.

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Section: Discussionsupporting

confidence: 73%

Are our expectations bigger than the results we achieve? A comparative study analysing potential advantages of ankle arthroplasty over arthrodesis

Braito

Dammerer

Kaufmann

et al. 2014

International Orthopaedics (SICOT)

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show abstract

“…Compared to arthrodesis, the primary advantages of total ankle replacements are maintenance of motion of the ankle and reduced risk of developing adjacent joint arthritis. Maintenance of motion, especially in patients with relatively stiff feet, has many potential advantages over fusion [16,23]. Weight bearing gait on flat surfaces has been shown to be well-maintained and undetectable to observation.…”

Section: Resultsmentioning

confidence: 99%

“…Major criteria have shown evidence in the literature and are considered of equal value without a ranking among each other. When still in doubt after balancing the major criteria, minor criteria should be analyzed [16]. Although they seem reasonable, solid evidence for the minor criteria from studies comparing the impact of these criteria on the outcome is lacking in the literature.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Clinical Effect of Ankle Arthrodesis and Total Ankle Arthroplasty for End-stage Ankle Arthritis

Xiaobing¹

2014

Clin Res Foot Ankle

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Objective: Arthrodesis as well as total ankle arthroplasty has been recently reported as an effective therapy for end-stage ankle arthritis. In this paper, we expand both surgical technique and retrospectively review our experience with evaluation of clinical effect of arthrodesis and total replacement for end-stage ankle arthritis.Methods: 14 patients after arthrodesis (A group) and 16 patients after total ankle arthroplasty (B group) for endstage osteoarthritis of the ankle joint were followed clinically and radiologically 5 years (range: 2.1-8.6) after surgery. To evaluate the outcome, a clinical scoring system (AOFAS, Kellgren and Lawrence) and by gait analysis (Vicon 612 System) were used. Results:The pre-and post-operative mean AOFAS score was 38.5 ± 2.3 and 74.3 ± 2.1 points in A group. The mean score was 38.1 ± 2.4 and 80.3 ± 2.2 points in B group, with statistical significance. Spatio-temporal parameters obtained with gait analysis showed a progressive recovery to normality. In A group, mean stride length normalized (%high) was 60.5 pre-op and exactly 70.5 both at 6 and 12 months; speed rose from 80.4 cm/s to 96.8 cm/s at 6 months and 99.1 cm/s at 12 months, In B group, mean stride length normalized (%high) was 62.6 pre-op and exactly 74.3 both at 6 and 12 months; speed rose from 81.5 cm/s to 97.9 cm/s at 6 months and 100 cm/s at 12 months. Both with statistical significance six patients in B group and three patients in A group showed radiological evidence of degeneration of the talonavicular joint and the subtalar joint. We noted only one case with degeneration of the calcaneocuboid joint in B group. Conclusion:Our study revealed arthrodesis as well as total ankle arthroplasty have been recently reported as an effective surgical technique for end-stage ankle arthritis.

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Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review

Jordan

Chahal

Chapman

2014

Advances in Orthopedics

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Introduction. End-stage ankle osteoarthritis is a debilitating condition. Traditionally, ankle arthrodesis (AA) has been the surgical intervention of choice but the emergence of total ankle replacement (TAR) has challenged this concept. This systematic review aims to address whether TAR or AA is optimal in terms of functional outcomes. Methods. We conducted a systematic review according to PRISMA checklist using the online databases Medline and EMBASE after January 1, 2005. Participants must be skeletally mature and suffering from ankle arthrosis of any cause. The intervention had to be an uncemented TAR comprising two or three modular components. The comparative group could include any type of ankle arthrodesis, either open or arthroscopic, using any implant for fixation. The study must have reported at least one functional outcome measure. Results. Of the four studies included, two reported some significant improvement in functional outcome in favour of TAR. The complication rate was higher in the TAR group. However, the quality of studies reviewed was poor and the methodological weaknesses limited any definitive conclusions being drawn. Conclusion. The available literature is insufficient to conclude which treatment is superior. Further research is indicated and should be in the form of an adequately powered randomised controlled trial.

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The Effect of Goniometric Alignment on Passive Ankle Dorsiflexion Range of Motion among Patients Following Ankle Arthrodesis or Arthroplasty

Abstract: Diagnostic, Level IV.

Cited by 3 publications

References 14 publications

Are our expectations bigger than the results we achieve? A comparative study analysing potential advantages of ankle arthroplasty over arthrodesis

Are our expectations bigger than the results we achieve? A comparative study analysing potential advantages of ankle arthroplasty over arthrodesis

Evaluation of Clinical Effect of Ankle Arthrodesis and Total Ankle Arthroplasty for End-stage Ankle Arthritis

Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review

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