Effect of Preoperative Deformity on Arthroscopic and Open Ankle Fusion Outcomes

Schmid, Timo; Krause, Fabian; Penner, Murray; Veljkovic, Andrea; Younger, Alastair; Wing, Kevin

doi:10.1177/1071100717729491

Cited by 33 publications

(37 citation statements)

References 16 publications

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“…Since less area was damaged during arthroscopic arthrodesis than during open surgery, the tissues and functions recovered rapidly and in earlier stages, as per Townshend et al [4] Further study is needed to improve understanding of the clinical picture of the finding, especially with regards to education for patients choosing the best time to undergo reconstruction for their ankle arthritis. [28] This is a new finding compared with the previous study. Thus, patients who underwent arthroscopic arthrodesis recovered in a shorter time but showed similar bone reconstruction in the long term compared with those who underwent open surgery.…”

Section: Inferences and Implicationssupporting

confidence: 59%

“…This explains why there was no remarkable difference in either group given the similar postoperative radiological alignment. [28] The infection rates for the open surgery group and the arthroscopic group did not differ significantly. Some reports have shown results with infection rates in the open surgery group from 0 to 9% and very low infection rates in the arthroscopic technique group.…”

Section: Inferences and Implicationsmentioning

confidence: 83%

See 1 more Smart Citation

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Mok¹,

He²,

Panneerselvam³

et al. 2020

Preprint

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Background: Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden . Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods: For the systematic review, a literature search was conducted in four English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Two prospective cohort studies and 8 retrospective cohort studies, enrolling a total of 548 patients with ankle arthritis, were included. Result: For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion: In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, shorter length of hospitalisation and better functional improvement at 1 year than open surgery.

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Section: Inferences and Implicationssupporting

confidence: 59%

Section: Inferences and Implicationsmentioning

confidence: 83%

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Mok¹,

He²,

Panneerselvam³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Since less area was damaged during arthroscopic arthrodesis than during open surgery, the tissues and functions recovered rapidly and in earlier stages, as per Townshend et al [4] Further study is needed to improve understanding of the clinical picture of the finding, especially with regards to education for patients choosing the best time to undergo reconstruction for their ankle arthritis. [21,23,24] This is a new finding compared with the previous study. Thus, patients who underwent arthroscopic arthrodesis recovered in a shorter time but showed similar bone reconstruction in the long term compared with those who underwent open surgery.…”

Section: Discussionsupporting

confidence: 50%

“…This explains why there was no remarkable difference in either group given the similar postoperative radiological alignment. [21] Moreover, postoperative improvements were studied via the AOS score. The arthroscopic arthrodesis group showed significantly better scores at one year compared with the open surgery groups.…”

Section: Discussionmentioning

confidence: 99%

Open versus arthroscopic ankle arthrodesis: A systemic review and meta-analysis

Mok¹,

He²,

PANNEERSELVAM³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods: For the systematic review, a literature search was conducted in four English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Two prospective cohort studies and 8 retrospective cohort studies, enrolling a total of 548 patients with ankle arthritis, were included. Result: For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion: In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, shorter length of hospitalisation and better functional improvement at 1 year than open surgery.

show abstract

“…It explains why there was no remarkable difference in both groups due to similar postoperative radiological alignment [20] Moreover, the postoperative improvements were studied with AOS score. The arthroscopic arthrodesis group showed significantly better scores at one year compared with open surgery groups.…”

Section: Discussionmentioning

confidence: 99%

Ankle arthrodesis-Open versus arthroscopic in the Treatment of Ankle Arthritis: A meta-analysis

Mok¹,

He²,

Panneerselvam³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: This study intends in evaluating the comparsion between arthroscopic arthrodesis and open surgery for patients with ankle arthritis by performing a meta-analysis. Methods: A literature search for this meta-analysis was conducted using four English databases (Pubmed, Embase, Medline and the Cochrane Library), up to August 2019. These included two prospective cohort study and 7 retrospective cohort studies, enrolling a total of 507 patients with ankle arthritis. Result: For fusion rate, the pooled data showed significantly higher rate of fusion during the arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding to the estimated blood loss, the pooled data showed significantly smaller blood losses during arthroscopic arthrodesis as compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed smaller tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). In the length of stay in the hospital, the pooled data showed less time of hospitalization for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who experienced arthroscopic arthrodesis as compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion: For patients with ankle arthritis, arthroscopic arthrodesis seems to be associated with a higher fusion rate, lesser amount of estimated blood loss, shorter tourniquet time, shorter length of hospitalization and better functional improvement at 1 year.

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Effect of Preoperative Deformity on Arthroscopic and Open Ankle Fusion Outcomes

Cited by 33 publications

References 16 publications

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Open versus arthroscopic ankle arthrodesis: A systematic review and meta-analysis

Open versus arthroscopic ankle arthrodesis: A systemic review and meta-analysis

Ankle arthrodesis-Open versus arthroscopic in the Treatment of Ankle Arthritis: A meta-analysis

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