Trends in Treatment of Advanced Ankle Arthropathy by Total Ankle Replacement or Ankle Fusion

Abstract

Level II, prognostic study.

Time trends in total ankle arthroplasty in the USA: a study of the National Inpatient Sample

“…This needs to be factored in the interpretation of studies that examine TAA outcomes over time or compare study results to more historical older cohorts. Our finding of increasing age of patients undergoing TAA in the U.S. confirms a similar finding from a recently published study that used NIS data from 2000–10 (14). …”

“…A previous study of 10-years of NIS data found findings similar to our study with an increasing volume of TAA from 2000–10 and increasing patient age (14). Our study has several important observations that merit further discussion.…”

“…A recent 10-year study using the national inpatient sample compared characteristics and outcomes TAA and ankle arthroplasty (14). The study examined time-trend in TAA volume and patient age from 2000–2010, but did not examine any time-trends in other patient characteristics or outcomes post-TAA and did not examine time-trends by age group or sex.…”

Incidence of Revision After Primary Implantation of the Salto® Mobile Version and Salto Talaris™ Total Ankle Prostheses: A Systematic Review

“…All these changes have in 1 form or another been implemented in the initially released and current Salto TalarisÔ total ankle prosthesis. The potential for a learning curve effect could also exist because the implantation of total ankle replacement systems in the United States has evolved from limited use in the late 1990s to commonplace at present (86,87). For instance, the Salto Ò mobile version prosthesis data included this learning curve (20,24,(31)(32)(33)(34)36); however, the Salto TalarisÔ Total Ankle Prostheses data included data from surgeons experienced with the implantation of total ankle replacement systems in general (24,(42)(43)(44)(45)(46).…”

CORR Insights®: How Do Hindfoot Fusions Affect Ankle Biomechanics: A Cadaver Model

“…This cadaveric study uniquely examines the impact of neutral, and simulated uneven surfaces on the ankle joint after hindfoot stabilization and demonstrates decrease force and contact area, while ultimately determining that contact stress was unchanged. Although there is limited information on this question from a biomechanical standpoint, there are a number of long-term retrospective clinical series that have demonstrated radiographic changes in the ankle joint after triple arthrodesis [2,5]. Interestingly, these clinical studies reported 30% to 40% of radiographic changes of the ankle approximately 25 years after a triple arthrodesis.…”