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Ankle arthrodesis vs athroplasty and quality of life

Discussion in 'Foot Surgery' started by NewsBot, May 3, 2011.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Does Total Ankle Arthroplasty Preserve Midfoot Function and Mitigate Excessive Adjacent Joint Loading?
    A Biomechanical Gait Analysis

    Frank DiLiberto, PT, PhD, Steven Haddad, MD, Anand Vora, MD,
    Foot & Ankle Orthopaedics September 19, 2018
     
  2. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Impact of Lower Back Pain on Functional Outcomes for Ankle Arthritis Treated with Arthroplasty
    and Arthrodesis: A COFAS Study

    Michael Symes, BAppSc Physio(Hons), MBBS(Hons), FRACS, FAOrthoA, MPH, Alastair Younger, MBChB, ChM, FRCSC,
    Murray Penner, MD, FRCSC, Andrea Veljkovic, MD, MPH, FRCSC, Kevin Wing, MD, FRCSC
    AOFAS Annual Meeting 2018 1
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A 27-year Meta-analysis of Ankle Arthroplasty
    Christopher Gross, MD, Steven Haddad, MD, Jesse Morris, BS, Elizabeth Durante, BA, BS, Philip Kirn, MD
    AOFAS Annual Meeting 2018 1
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Total ankle arthroplasty: what are the risks?
    Clough TM et al
    Bone Joint J. 2018 Oct;100-B(10):1352-1358. doi: 10.1302/0301-620X.100B10.BJJ-2018-0180.R1.
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Risk Factors for Failure of Total Ankle Arthroplasty with a Minimum Five Years of Follow-up
    Elizabeth A. Cody, MD, Lorena Bejarano-Pineda, MD, James R. Lachman, MD, ...
    Foot & Ankle International October 21, 2018
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical and Radiological Mid- to Long-term Outcomes Following Ankle Fusion.
    Gaedke IE et al
    In Vivo. 2018 Nov-Dec;32(6):1463-1471
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Positive and negative factors for the treatment outcomes following total ankle arthroplasty? A systematic review
    DahangZhaoa et al
    Foot and Ankle Surgery; 24 December 2018
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Survivorship and long-term outcome of a consecutive series of 200 Scandinavian Total Ankle Replacement (STAR) implants.
    Clough T, Bodo K, Majeed H, Davenport J, Karski M
    Bone Joint J. 2019 Jan;101-B(1):47-54.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Does Patient-Specific Instrumentation Have a Higher Rate of Early Osteolysis Than Standard Referencing Techniques in Total Ankle Arthroplasty? A Radiographic Analysis.
    Escudero MI et al
    Foot Ankle Spec. 2019 Feb 13:1938640019828069.
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effectiveness and Safety of Ankle Arthrodesis Versus Arthroplasty: A Prospective Multicenter Study.
    Norvell DC et al
    J Bone Joint Surg Am. 2019 Aug 21;101(16):1485-1494.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Role of Postoperative Patient-Reported Outcomes to Predict Ankle Arthroplasty and Arthrodesis Revision
    Sameer Desai, MSc, Jason M. Sutherland, PhD, Alastair Younger, MD, ...
    Foot & Ankle International August 28,
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Consumer Prices for Surgical Management of Ankle Arthritis: Limited Availability and Wide Variability.
    Smyth NA et al
    J Am Acad Orthop Surg Glob Res Rev. 2019 Jul 8
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Agonizing and Expensive: A Review of Institutional Costs of Ankle Fusion Nonunions.
    Gagne OJ, Veljkovic AN, Glazebrook M, Penner M, Wing K, Younger ASE.
    Orthopedics. 2020 Apr 9:1-6
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Change in gait biomechanics after total ankle replacement and ankle arthrodesis: a systematic review and meta-analysis
    Paul-André Deleu et al
    Clin Biomech:January 20, 2020
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures.
    Lachman JR et al
    Foot Ankle Spec. 2020 May 12
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Quality Measure of Total Ankle Replacement Outcomes in a Non-Designer Centre
    T Cheung et al
    J Orthop. 2020 May 11;20:286-292
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Return to Sports and Activity After Total Ankle Arthroplasty and Arthrodesis: A Systematic Review
    William L Johns et al
    Foot Ankle Int. 2020 Jun 5
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Does Gender Influence the Outcomes of Total Ankle Arthroplasty in Patients With Ankle Osteoarthritis?
    Gun-Woo Lee, Keun-Bae Lee
    J Orthop Surg Res. 2020 Jun 5;15(1):207
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Timeline for Maximal Subjective Outcome Improvement Following Total Ankle Arthroplasty
    AvineshAgarwalla et al
    Foot and Ankle Surgery; 8 June 2020
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Total Ankle Arthroplasty Survivorship: A Meta-analysis
    Bryon J. McKenna et al
    JFAS: June 26, 2020
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical Outcomes of Total Ankle Arthroplasty Versus Ankle Arthrodesis for the Treatment of End-Stage Ankle Arthritis in the Last Decade: a Systematic Review and Meta-analysis
    Chia-Lung Shih, PhD et al
    JFAS
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical Outcomes of Total Ankle Arthroplasty Versus Ankle Arthrodesis for the Treatment of End-Stage Ankle Arthritis in the Last Decade: a Systematic Review and Meta-analysis
    Chia-Lung Shih et al
    JFAS:July 21, 2020
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical Outcome Results of Total Ankle Replacement and Ankle Arthrodesis : A Pilot Randomised Controlled Trial
    MarkGlazebrook et al
    Foot and Ankle Surgery; 17 October 2020
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effect of Achilles Tendon Lengthening and Gastrocnemius Recession on Radiographic Tibiotalar Motion Following Total Ankle Replacement
    Clifford L. Jeng, MD, John T. Campbell, MD, Patrick J. Maloney, MD, ...
    Foot & Ankle International November 17, 2020
     
  26. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Hindfoot Alignment Change After Total Ankle Arthroplasty for Varus Osteoarthritis
    Hyuck Sung Son, MD, Jung Gyu Choi, MD, Jungtae Ahn, MD, PhD, ...
    Foot & Ankle International November 20, 2020
     
  27. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Complication Rates Following Total Ankle Arthroplasty in Inpatient versus Outpatient Populations: A Systematic Review & Meta-Analysis
    Rachel H Albright et al
    J Foot Ankle Surg. 2020 Aug 15
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Differences in 30-day complications associated with total ankle arthroplasty and ankle arthrodesis: A matched cohort study
    William V Probasco et al
    Foot (Edinb). 2020 Nov 18;46:101750
     
  29. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Long-term Functional Results of Total Ankle Arthroplasty in Stiff Ankles
    James W. Brodsky, MD, David Jaffe, MD, Andrew Pao, MD, ...
    Foot & Ankle International February 8, 2021
     
  30. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Midfoot Function Before and After Total Ankle Arthroplasty
    Frank E DiLiberto et al
    Foot Ankle Int. 2021 Feb 25
     
  31. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Outcome Reporting in Total Ankle Arthroplasty: A Systematic Review
    Nihar S Shah et al
    JFAS: March 04, 2021
     
  32. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Living With Both a Total Ankle Replacement and an Ankle Fusion: A Qualitative Study From the Patients' Perspective
    Catherine Conlin et al
    Foot Ankle Int. 2021 Apr 23
     
  33. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Multi-Segment Foot Kinematics During Gait Following Ankle Arthroplasty
    Jessica M Fritz et al
    J Orthop Res. 2021 Apr 29
     
  34. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Comparing 4-Year Changes in Patient-Reported Outcomes Following Ankle Arthroplasty and Arthrodesis
    Bruce J Sangeorzan et al
    J Bone Joint Surg Am. 2021 May 19;103(10):869-878
     
  35. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    News Release 19-May-2021
    In severe ankle arthritis, total ankle replacement yields better function than ankle arthrodesis
    May 19, 2021 - For patients with severe arthritis of the ankle, total ankle arthroplasty (TAA) provides better long-term function than ankle arthrodesis (AA), reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

    "Both established treatments for end-stage ankle arthritis are effective at pain relief and improved patient-reported outcomes," according to the research by Bruce Sangeorzan MD, and colleagues at the University of Washington and VA Puget Sound Health Care System. "However, it appears TAA leads to greater improvement in most patient-reported outcome measures at 48 months after surgery."

    Study adds to evidence supporting TAA for ankle arthritis

    End-stage ankle arthritis is characterized by complete loss of cartilage and "bone-on-bone" contact in the ankle joint, with patients experiencing pain and stiffness. The standard treatment for end-stage ankle arthritis is arthrodesis, which uses hardware such as plates and screws to fuse the ankle bones into a single piece.

    However, in recent years, TAA has become a popular alternative. In TAA, a prosthesis is used to replace the deteriorated ankle joint - similar to how artificial joints are used in total hip or knee replacement surgery. However, questions remain regarding the results of TAA versus AA, especially in the long term.

    Dr. Sangeorzan and colleagues compared the outcomes of the two procedures in 517 patients with end-stage ankle arthritis at six medical centers. Patients were treated according to their preferred procedure, with 414 undergoing TAA and 103 undergoing AA. All operations were performed by orthopaedic surgeons with extensive experience with each procedure, as well as hip and knee replacement and surgery for other deformities around the ankle.

    At four years postoperatively, both procedures yielded showed improvements in key patient outcomes. By most measures, long-term results were better for patients undergoing TAA compared with AA, including patient-reported ankle function for activities of daily living and sports, as well as physical aspects of quality of life.

    Through the first three years postoperatively, pain scores were also better after total ankle replacement. For example, average pain score (on a 0-to-10 scale) decreased from 6.3 to 1.9 in the TAA group versus 6.0 to 2.5 in the AA group. For both treatments, the improvements observed at two years postoperatively were maintained through four years postoperatively.

    Seventy-eight percent of patients who underwent TAA were "completely satisfied" with the results of their surgery, compared to 60 percent of those who underwent AA. Patients who underwent TAA also had a lower rate of revision surgery: 8.7 versus 17.5 percent.

    Although the study was designed as a randomized trial with a patient preference arm, too few patients were willing to be randomized, and the trial was converted to a prospective cohort study. According to coauthor Dan Norvell, PhD, the researchers controlled for the effects of potential selection bias in their analysis by evaluating and adjusting for unevenly distributed patient characteristics between treatment groups.

    Drs. Sangeorzan and Norvell attribute the successful study recruitment and follow-up of the study to the efforts of site investigators, including James Davitt, MD, John G. Anderson, MD, Donald Bohay, MD, J. Chris Coetzee, MD, John Maskill, MD, Michael Brage, MD, Michael Houghton, MD, and their dedicated research staffs.

    The findings are "highly relevant" to patients and surgeons during the planning stage when treating severe ankle arthritis, Dr. Sangeorzan and coauthors believe. They plan to perform further analyses to report the rates and risk factors for revision surgery for the two procedures with a longer follow-up period.
     
  36. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Ten-year revision rates of contemporary total ankle arthroplasties equal 22%. A meta-analysis
    Laurens W.van der PlaataDaniëlHoornenborgbInger N.SiereveltbC. Niekvan DijkcDaniëlHaverkampb
    Foot and Ankle Surgery 6 June 2021
     
  37. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Post-operative management after total ankle arthroplasty: A systematic review of the literature
    A Mazzotti et al
    Foot Ankle Surg. 2021 May 28;S1268-7731(21)00114-4
     
  38. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    30-Day Outcomes for Total Ankle Arthroplasty in Patients With Anemia
    Jordan R. Pollock, BS, Matt K. Doan, BS, M. Lane Moore, BS, ...
    Foot & Ankle International June 10, 2021
     
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