Total ankle arthroplasty <i>versus</i> ankle arthrodesis

Pedowitz, David I.; Kane, Justin M.; Smith, G. M.; Saffel, Heather; Comer, Carly D.; Raikin, Steven M.

doi:10.1302/0301-620x.98b5.36887

Cited by 122 publications

(29 citation statements)

References 21 publications

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“…Although ankle arthrodesis has been used traditionally to treat end-stage ankle arthritis, the clinical outcomes comparing arthrodesis to TAA have been reported in multiple studies. 20212223 With regard to comparing quoted consumer prices for the two procedures, our results showed no notable difference between ankle arthrodesis and TAA. This conclusion differs from our hypothesis and other price comparisons found in the literature.…”

Section: Discussionmentioning

confidence: 57%

Consumer Prices for Surgical Management of Ankle Arthritis: Limited Availability and Wide Variability

et al. 2019

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Background:Healthcare costs for the surgical management of ankle arthritis continue to rise. Patients are generally unaware of the prices of the services they use. Understanding the costs associated with surgical management of ankle arthritis is an important facet of patient care. The purposes of this study were to (1) determine the access to the surgical cost of total ankle arthroplasty (TAAs) and ankle arthrodesis and (2) the variability of the price between the two procedures.Methods:Fifty foot and ankle centers (25 academic, 25 private) that perform TAAs and ankle arthrodeses were contacted using a standardized patient script. The described patient was a 63-year-old man who had failed conservative treatment of ankle arthritis. Each institution was contacted up to three times in an attempt to obtain a full-bundled surgical quote for a TAA and an ankle arthrodesis.Results:Twenty-one centers (42%, 14 academic, 7 private) were able to provide a quote for a TAA and an ankle arthrodesis. The mean bundled price for a TAA was $50,332 (SD ± $25,744), with the mean academic and private center quote being $56,529 and $37,937, respectively. The mean bundled price for an ankle arthrodesis was $41,756 (SD ± $26,033), with the mean academic and private center quote being $48,116 and $29,037, respectively. No statistically significant difference was found between the bundled prices for TAA and ankle arthrodesis.Discussion:This study demonstrated limited availability of consumer prices for TAA and ankle arthrodesis. When comparing different institutions for surgical management of ankle arthritis, there was a wide range of quotes for both TAA and ankle arthrodesis. When comparing the choice of surgical management for ankle arthritis, no statistically significant difference was observed in price between TAA and ankle arthrodesis.

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Section: Discussionmentioning

confidence: 57%

Consumer Prices for Surgical Management of Ankle Arthritis: Limited Availability and Wide Variability

et al. 2019

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“…Bei aller Einschränkung ist die erreichte Beweglichkeit besser als nach einer Arthrodese des oberen Sprunggelenks [23]. Entsprechend ist nach Implantation einer OSG-Endoprothese eine bessere Funktion beim Steigen von Treppen und beim Gehen auf unebenem Untergrund als nach einer Arthrodese erreichbar [24].…”

Section: Merkeunclassified

Endoprothetik am oberen Sprunggelenk

Dohle¹,

Stukenborg-Colsman²,

Plaaß³

2021

Z Orthop Unfall

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ZusammenfassungMeist ist die Arthrose des oberen Sprunggelenks (OSG) die Spätfolge einer Sprunggelenkfraktur. Bei fortgeschrittenen Arthrosen bleibt – nach Ausschöpfung der konservativen Therapieoptionen – an operativen Verfahren nur die Wahl zwischen OSG-Arthrodese und OSG-Prothese, deren Technik und Nachbehandlung der Artikel vorstellt. Die erreichte Beweglichkeit nach endoprothetischer Versorgung ist meist geringer als das physiologische Normalmaß, trotzdem funktionell meist ausreichend.

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“…Therefore, many authors promote total-ankle-arthroplasty (TAA) as an attractive alternative to increase function and mobility. While first and second-generation TAA showed poor survival rates and clinical outcomes measures due to a high number of complications [10,11], current generations of TAA show promising results: several authors reported a reduction in complication rates leading to increased survival as well as improved clinical outcome measures like the American Orthopaedic Foot and Ankle Society (AOFAS) score [12][13][14][15][16][17]. Hence, TAA gained popularity within the last few years [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Intermediate to long-term clinical outcomes and survival analysis of the Salto Mobile Bearing total ankle prothesis

Stadler

Stöbich²,

Ruhs³

et al. 2021

Arch Orthop Trauma Surg

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Introduction Osteoarthritis of the ankle is a major burden to affected patients. While tibio-talar arthrodesis has been the gold-standard regarding the treatment of osteoarthritis of the ankle joint for many years, at present total ankle arthroplasty (TAA) provides appealing clinical outcomes and is continually gaining popularity. The aim of this study was to evaluate the intermediate- to long-term clinical outcome including the survival rate of Salto Mobile Bearing TAA (Tonier SA, Saint Ismier, France). Material and methods In this retrospective study intermediate- to long-term outcomes measures [Ankle Range of Motion (ROM), American Orthopaedic Foot and Ankle Score (AOFAS score) and survival rate] of 171 consecutive TAA were analysed and compared before and after surgery. Revision was defined as secondary surgery with prothesis component removal, while reoperation was defined as a non-revisional secondary surgery involving the ankle. Results At a mean follow-up (FU) period of 7.2 ± 2.7 years (range 2.0 to 14.1 years) there was a significant improvement in ankle ROM (total ROM improved from 25.0° ± 15.0° to 28.7° ± 11.3°, p = 0.015; plantarflexion improved from 18.4° ± 11.7° to 20.6° ± 8.2°, p = 0.044; dorsiflexion improved from 6.6° ± 5.7° to 8.1° ± 4.9°, p = 0.011). AOFAS score increased significantly by 41 ± 15 points after surgery (43.3 ± 11.1 before and 84.3 ± 12.0 after surgery, p < 0.001). Overall survival rate within the FU was 81.3% (95% CI 75.3% to 87.3%) with any secondary surgery, 89.9% (95% CI 84.1% to 93.6%) with revision and 93.6% (95% CI 89.8% to 97.3%) with reoperation as endpoint. Conclusion This study endorses the previously reported appealing intermediate- to long-term outcomes of the Salto Mobile Bearing TAA. There was a significant increase in ROM and AOFAS score as well as decent implant survival at final FU.

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Total ankle arthroplasty versus ankle arthrodesis

Abstract: TAA preserves more anatomic sagittal plane motion and provides greater pain relief and better patient-perceived outcomes compared with ankle arthrodesis. Cite this article: Bone Joint J 2016;98-B:634-40.

Cited by 122 publications

References 21 publications

Consumer Prices for Surgical Management of Ankle Arthritis: Limited Availability and Wide Variability

Consumer Prices for Surgical Management of Ankle Arthritis: Limited Availability and Wide Variability

Endoprothetik am oberen Sprunggelenk

Intermediate to long-term clinical outcomes and survival analysis of the Salto Mobile Bearing total ankle prothesis

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