Comparison of Perioperative Complications and Hospitalization Outcomes After Ankle Arthrodesis Versus Total Ankle Arthroplasty From 2002 to 2011

Jiang, Jiaren; Schipper, Oliver N.; Whyte, Noelle; Koh, Jason L.; Toolan, Brian C.

doi:10.1177/1071100714558511

Cited by 63 publications

(58 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This figure is fairly low compared with 1 TAA per 100,000 inhabitants in Sweden, Norway, and the United Kingdom [4, 5, 19], approximately 2 per 100,000 inhabitants in Finland and Germany [13, 20], 0.6 to 2.5 per 100,000 inhabitants in Australia and New Zealand [6, 21], and 1.9 to 4.0 per 100,000 inhabitants in the United States [3, 22]. The ratio of TAA to ankle arthrodesis was also low in the present study (1:6), compared with 1:2–3 in the United States, France, and Germany [3, 18, 20, 23]. These differences likely reflect preferences of surgeons in Japan to perform ankle arthrodesis over TAA compared with surgeons in Western countries.…”

Section: Discussionmentioning

confidence: 50%

“…The blood transfusion rate was significantly lower in the ankle arthrodesis group. This result is contradictory to a report that compared the perioperative complications and hospitalization outcomes after ankle arthrodesis and TAA using the data of the National Inpatient Sample in the United States, which has been the only study comparing the blood transfusion rate between the two groups [23]. We could not perform a multivariate analysis to adjust for differences in demographics and comorbidities according to blood transfusion because of the small number of events.…”

Section: Discussionmentioning

confidence: 59%

“…A previous study in the United States reported that TAA was independently associated with a decreased risk of overall complication during hospitalization [23]. Another study in the United States reported that patients treated with TAA had a significantly increased rate of major revision at 90 days postoperatively [25].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Time trends and risk factors for perioperative complications in total ankle arthroplasty: retrospective analysis using a national database in Japan

Matsumoto

Yasunaga

Matsui

et al. 2016

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundTotal ankle arthroplasty (TAA) has become increasingly popular worldwide as an alternative to ankle arthrodesis for surgical treatment of end-stage ankle arthritis. The aim of this epidemiological study, using a national inpatient database in Japan, was to describe the volume, utilization, patient characteristics, and temporal trends regarding these procedures in Japan, and to identify the risk factors associated with perioperative adverse events in TAA.MethodsThis was a population-based, retrospective cohort study. We retrospectively identified 2775 patients in the Diagnosis Procedure Combination database who underwent ankle arthrodesis or TAA for ankle arthritis at 559 hospitals in Japan from 2007 to 2013. Information on sex, age, main diagnosis, use of blood transfusion, duration of anesthesia, length of hospital stay, in-hospital mortality, hospitalization costs, additional procedures after primary surgery, and use of negative pressure wound therapy was extracted. Multivariable logistic regression analysis was performed to analyze the effect of various factors on the incidence of perioperative adverse events in TAA, including additional procedure during hospitalization, negative pressure wound therapy, blood transfusion, and in-hospital death.ResultsWe identified 465 patients who underwent TAA and 2310 patients who underwent ankle arthrodesis. There was no apparent increase in the proportion of TAAs performed during the survey period. Patients undergoing TAA tended to be older, female, and have rheumatoid arthritis compared with those undergoing ankle arthrodesis. Patients undergoing TAA had shorter length of stay, higher hospitalization costs, and more blood transfusions compared with those undergoing ankle arthrodesis. Lower hospital volume and shorter anesthesia time were associated with higher rates of adverse events after TAA.ConclusionsDespite an increase in the popularity of TAA internationally, the number of TAAs performed remains low in Japan. Lower hospital volume and anesthesia time were associated with higher rates of perioperative adverse events after TAA.Level of evidenceIV, Cross-sectional study

show abstract

Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 59%

See 1 more Smart Citation

Time trends and risk factors for perioperative complications in total ankle arthroplasty: retrospective analysis using a national database in Japan

Matsumoto

Yasunaga

Matsui

et al. 2016

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…J.J. Jiang reported that TAR was independently associated with a lower risk of blood transfusion, non-home discharge, and overall complications when compared to ankle arthrodesis during the index hospitalization period. TAR was also independently associated with a higher hospitalization charge, but the length of stay was similar between the two groups [66]. S. Singer reported that improvement in patient-reported Ankle Osteoarthritis Scale and Short Form-36 scores were similar for both arthrodesis and TAR groups [24].…”

Section: Decision-making Process Of Using Arthrodesis or Tarmentioning

confidence: 96%

The Current Trend of Total Ankle Replacement

Zhou¹,

Tang²

2016

Arthroplasty - A Comprehensive Review

View full text Add to dashboard Cite

Total ankle replacement (TAR) was introduced for end-stage arthritis of the ankle joint in the 1970s. TAR is becoming the modality of choice and offers better mobility, improved gait, and reduces the development of subsequent subtalar joint arthritis when compared with ankle arthrodesis. To maintain the longest function of ankle replacements, the design of the prosthesis should allow for smooth and continuous interaction and normal gait. Improved operative techniques, the surgeon's experience, as well as appropriate patient selection can anticipate better outcomes. Deformities of the ankle and foot should be corrected before TAR is performed. Despite the functional limitations following the revision of TAR, the revision still offers a cost-effective alternative to ankle arthrodesis. The decision to treat with TAR depends on the surgeon's technique, as well as on the patient's condition.

show abstract

“…While these numbers are significantly lower than the number of procedures done for end-stage knee and hip arthritis (200 000 to 600 000), they are closer to the rates seen in shoulder arthritis where 24 000 complete arthroplasties were performed in 2010 in Medicare patients. 6,18,21,43 Historically, treatment of end-stage AA was an ankle arthrodesis, commonly referred to as ankle fusion (AF) procedure. This longstanding surgery was the preferred procedure for decades as initial trials of total ankle arthroplasty (TAA) in the 1970s had significantly high failure rates in first-and second-generation models.…”

mentioning

confidence: 99%