Comparison of First- and Second-Generation Fixed-Bearing Total Ankle Arthroplasty Using a Modular Intramedullary Tibial Component

Lewis, John S.; Green, Cynthia L.; Adams, Samuel B.; Easley, Mark E.; DeOrio, James K.; Nunley, James A.

doi:10.1177/1071100715576568

Cited by 66 publications

(48 citation statements)

References 15 publications

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“…Our radiographic analysis demonstrated alignment commensurate with published norms from different TAR prostheses, including the mobile-bearing Scandinavian Total Ankle Replacement (STAR) 6,17,27,37 and HINTEGRA 18 in addition to the fixed-bearing Salto-Talaris 1,32 and INBONE I/II. 1,25,32 As previously illustrated by Espinosa et al, 13 5 degrees or more of misalignment results in implant edge loading and potential early failure of TAR. PSI and SR groups in our study both had accurate alignment, and each had only a 5.7% rate of patients with 5 or more degrees of misalignment, a prevalence that is in line with or better than the aforementioned historical cohorts.…”

Section: Discussionmentioning

confidence: 80%

Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements

et al. 2016

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Section: Discussionmentioning

confidence: 80%

Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements

et al. 2016

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“…Nielsen et al reported on 107 ankle fusions and demonstrated reoperation rates similar to Chalayon et al, with hardware removal (21%) and incision and drainage for deep infection (3%) as the most common reasons for non-revision reoperation [11]. The two TAA studies with the highest non-revision reoperation rates did not provide detailed analysis of their indications for reoperation [15, 16]. …”

Section: Discussionmentioning

confidence: 99%

Total ankle arthroplasty versus ankle arthrodesis—a comparison of outcomes over the last decade

et al. 2017

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BackgroundThe surgical treatment of end-stage tibiotalar arthritis continues to be a controversial topic. Advances in surgical technique and implant design have lead to improved outcomes after both ankle arthrodesis (AA) and total ankle arthroplasty (TAA), yet a clear consensus regarding the most ideal form of treatment is lacking. In this study, the outcomes and complications following AA and TAA are compared in order to improve our understanding and decision-making for care and treatment of symptomatic tibiotalar arthritis.MethodsStudies reporting on outcomes and complications following TAA or AA were obtained for review from the PubMed database between January 2006 and July 2016. Results from studies reporting on a minimum of 200 total ankle arthroplasties or a minimum of 80 ankle arthrodesis procedures were reviewed and pooled for analysis. All studies directly comparing outcomes and complications between TAA and AA were also included for review. Only studies including modern third-generation TAA implants approved for use in the USA (HINTEGRA, STAR, Salto, INBONE) were included.ResultsA total of six studies reporting on outcomes following TAA and five reporting on outcomes following AA met inclusion criteria and were included for pooled data analysis. The adjusted overall complication rate was higher for AA (26.9%) compared to TAA (19.7%), with similar findings in the non-revision reoperation rate (12.9% for AA compared to 9.5% for TAA). The adjusted revision reoperation rate for TAA (7.9%) was higher than AA (5.4%). Analysis of results from ten studies directly comparing TAA to AA suggests a more symmetric gait and less impairment on uneven surfaces after TAA.ConclusionsPooled data analysis demonstrated a higher overall complication rate after AA, but a higher reoperation rate for revision after TAA. Based on the existing literature, the decision to proceed with TAA or AA for end-stage ankle arthritis should be made on an individual patient basis.

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“…Further details on TAR database collection and contents have been previously reported. 1,[17][18][19][20] Patients were suitable for inclusion in this study if they met the following criteria: underwent a TAR with a fixed-bearing Salto-Talaris (Integra LifeSciences Corporation, Plainsboro, NJ), mobile-bearing STAR (Stryker, Kalamazoo, MI), or fixedbearing INBONE I or II (Wright Medical Group, Inc, Arlington, TN) prosthesis, final weightbearing ROM radiographs were obtained at a minimum of 2 years after surgery and complete preoperative and 2-year postoperative validated PROMs were recorded. Exclusion criteria included those who had prior fusion procedures, revision total ankle arthroplasty, subsequent revision procedures or missing PROM data.…”

Section: Patient Enrollmentmentioning

confidence: 99%

The Value of Motion: Patient-Reported Outcome Measures Are Correlated With Range of Motion in Total Ankle Replacement

Dekker

Hamid

Federer

et al. 2017

Foot & Ankle Specialist

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Comparison of First- and Second-Generation Fixed-Bearing Total Ankle Arthroplasty Using a Modular Intramedullary Tibial Component

Abstract: Level II, comparative series.

Cited by 66 publications

References 15 publications

Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements

Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements

Total ankle arthroplasty versus ankle arthrodesis—a comparison of outcomes over the last decade

The Value of Motion: Patient-Reported Outcome Measures Are Correlated With Range of Motion in Total Ankle Replacement

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