Comparison of the Efficiency and Safety of Total Ankle Replacement and Ankle Arthrodesis in the Treatment of Osteoarthritis: An Updated Systematic Review and Meta‐analysis

Li, Yuhan; He, Jinquan; Hu, Yongcheng

doi:10.1111/os.12635

Cited by 30 publications

(14 citation statements)

References 20 publications

(34 reference statements)

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“…There is strong evidence that the survival rate of implants with a coronal varus deformity before surgery is not different from that of implants without a varus deformity. Preoperative valgus deformity has a greater negative impact on implant survival 24 . Studies on anatomical measurements have been performed on the three‐dimensional model of the ankle joint.…”

Section: Discussionmentioning

confidence: 99%

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A Novel Method for Preoperative Positioning of Total Ankle Replacement Using 3D Digital Model

Liu

Ling

et al. 2022

Orthopaedic Surgery

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Objective: To establish a digital model of the ankle joint through 3D imaging technology and explore the preoperative placement of ankle replacement prostheses.Methods: Computed tomography images of intact ankle joints from 54 cases in the outpatient and inpatient departments of our hospital were collected; according to the INBONE ® total ankle system surgery process, the surgery model and surgical osteotomy were finished using MIMICS based on computer simulation method. The shortest distance was measured between the center point and the anterior, posterior, medial, and lateral, respectively, to ensure the precise position of the ankle replacement prosthesis by digital simulation surgery. The relationship between the two variables was analyzed by bivariate correlation analysis. Results:The dataset of this study included 48 cases of the sub-data set (26 males and 22 females) and included 27 cases of left ankle and 21 cases of right ankle. The average medial malleolar angle was 18.67 AE 2.87 , the average amount of bone resection was 12.13 AE 1.86 cm 3 , the mid-anterior distance was 1.72 AE 0.19 cm, the midposterior distance was 2.00 AE 0.19 cm, the ratio of mid-anterior to mid-posterior was 0.87, the mid-medial distance was 1.26 AE 0.17 cm, the mid-lateral distance was 1.19 AE 0.16 cm, and the ratio of mid-medial to mid-lateral was 1.06. After osteotomy, the anteroposterior diameter was 3.73 AE 0.32 cm, the transverse diameter was 2.46 AE 0.27 cm, and the ratio of anteroposterior diameter to transverse diameter was 1.53. In the bottom view, the shape after osteotomy is rectangular. The mid-anterior distance was strongly negatively correlated with age, the midanterior distance and the amount of bone resection, the mid-medial distance and the amount of bone resection, the mid-lateral distance and the amount of bone resection, the mid-lateral distance and the anteroposterior diameter, the anteroposterior diameter and the transverse diameter were all strongly positively correlated. Conclusion:The projection point of the lower tibia centerline on the tibial horizontal osteotomy surface is located at a position slightly anterior to the midpoint of the transverse diameter after ankle arthroplasty. The rational positioning of the total ankle replacement is located at both a position slightly anterior to the midpoint of the transverse diameter and midpoint of the anteroposterior diameter, which can be used as a reference method before total ankle arthroplasty surgery.

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Section: Discussionmentioning

confidence: 99%

“…Preoperative valgus deformity has a greater negative impact on implant survival. 24 Studies on anatomical measurements have been performed on the three‐dimensional model of the ankle joint. For example, the asymmetric shape of the medial talus trochlea is related to the fixed or changing axis of rotation at the ankle joint.…”

Section: Discussionmentioning

confidence: 99%

A Novel Method for Preoperative Positioning of Total Ankle Replacement Using 3D Digital Model

Liu

Ling

et al. 2022

Orthopaedic Surgery

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“…As this is a high-energy event, the risk of post-traumatic osteoarthritis of the ankle joint is high [20]. Lengthening procedures that allow for increased ankle joint range of motion can reduce the risk of post-traumatic arthritis and increase the likelihood of success with treatment via ankle arthrodesis [21].…”

Section: Ankle Equinus In Foot and Ankle Traumamentioning

confidence: 99%

The use of Percutaneous Achilles’ Tendon Lengthening as an Adjunct Procedure in Foot and Ankle Surgery: A Review

Santamarina¹,

Zislis²

2020

Arch Orthop

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“…For example, Maffulli et al [ 6 ] in their review of the literature concluded that TAR could not be routinely recommended for the management of ankle arthritis. However, Li et al [ 7 ] concluded that there is no statistically significant difference between TAR and AA with regard to clinical outcome, patient satisfaction, complications, and survival. Therefore, the aim of this study is to compare the rates of complications and reoperations at both 30 days and one year among patients who have undergone TAR and AA.…”

Section: Introductionmentioning

confidence: 99%

Differences Between Total Ankle Replacement and Ankle Arthrodesis in Post-operative Complications and Reoperations at 30 Days and One Year

Sambandam¹,

Serbin²,

Riepen³

et al. 2022

Cureus

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Total ankle replacement (TAR) and ankle arthrodesis (AA) are two commonly performed procedures for endstage arthritis of the ankle joint. The aim of this study was to analyze the differences in the rates of complications and reoperations at both 30 days and one year within a matched sample of TAR and AA patients from a large database population. MethodsA commercially available patient database record, known as the PearlDiver database (www.pearldiverinc.com, Colorado Springs, CO, USA), was used for this study. Patients undergoing TAR and AA were identified using Current Procedural Terminology (CPT) codes. After matching both TAR and AA groups for confounding variables, such as diabetes, smoking, obesity, and comorbidities scores, the differences in the rates of complications at 30 days and one year and the rate of reoperation at one year were evaluated in both groups. ResultsAfter matching for confounding variables, there were 1287 patients in each group. There was no significant difference in the male/female ratio. Within each group, 430 patients were diabetic, 102 patients smoked, and 543 patients were obese. The rate of surgical site infection (SSI) and wound dehiscence were higher at 30 days in the AA group. About 63.45% of complications happened after 30 days. The AA group showed a higher rate of SSI, wound dehiscence, mechanical complications, and pneumonia at one year. The rate of reoperation was also higher in the AA group at one year. ConclusionAnkle arthrodesis is associated with a higher rate of local and systemic complications at 30 days and one year, along with a higher reoperation rate at one year, when compared to total ankle replacement. Most complications happened after 30 days, suggesting that studies reporting complications within 30 days following AA and TAR may underestimate the true rates of complications.

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Comparison of the Efficiency and Safety of Total Ankle Replacement and Ankle Arthrodesis in the Treatment of Osteoarthritis: An Updated Systematic Review and Meta‐analysis

Cited by 30 publications

References 20 publications

A Novel Method for Preoperative Positioning of Total Ankle Replacement Using 3D Digital Model

A Novel Method for Preoperative Positioning of Total Ankle Replacement Using 3D Digital Model

The use of Percutaneous Achilles’ Tendon Lengthening as an Adjunct Procedure in Foot and Ankle Surgery: A Review

Differences Between Total Ankle Replacement and Ankle Arthrodesis in Post-operative Complications and Reoperations at 30 Days and One Year

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