End-stage ankle osteoarthritis: arthroplasty offers better quality of life than arthrodesis with similar complication and re-operation rates—an updated meta-analysis of comparative studies

Fanelli, Daniele; Mercurio, Michele; Castioni, Davide; Sanzo, Valentina; Gasparini, Giorgio; Galasso, Olimpio

doi:10.1007/s00264-021-05053-x

Cited by 25 publications

(22 citation statements)

References 43 publications

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“…IBM SPSS Statistics software (version 21.0.0.1, IBM Corp., Armonk, NY, USA) 19,20 and G*Power (version 3.1.9.2, Institut für Experimentelle Psychologie, Heinrich Heine Universität, Düsseldorf, Germany) were used for database construction and statistical analysis. A p-value of less than 0.05 was considered significant.…”

Section: Surgical Techniquementioning

confidence: 99%

Trend of Perioperative CRP (C-Reactive Protein) Levels in Non-Infected Total Knee Arthroplasty

et al. 2022

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The aim of this prospective study was to define the perioperative trend of C-reactive protein (CRP) in non-infected total knee arthroplasty (TKA). CRP was evaluated in 42 patients the day before surgery and 4 and 30 days after surgery. Functional and radiological evaluation was scheduled for 3, 6, and 12 months after surgery. Preoperatively, the median CRP was 3.2 mg/L (IQR,3.2-4.2) (reference range, 0-5 mg/L); 4 and 30 days after surgery, it measured 57.6 mg/L (IQR,36.1-96.4) and 5.3 mg/L (IQR,3.0-11.8), respectively. There were significant differences between the CRP preoperatively and 4 days after surgery (p<0.001) and between CPR levels 4 and 30 days after surgery (p<0.001) but not between CRP values preoperatively and 30 days after surgery (p=0.181). Higher preoperative CRP was associated to heart disease and chronic renal failure (r=0.329, p=0.036, and r=0.437, p=0.004, respectively). Four days after surgery, higher CRP was associated to older patients (r=0.311, p=0.048). In summary, 30 days after primary non-infected TKA, CRP levels were comparable to preoperative values. Older age and comorbidities should be carefully evaluated using postoperative CRP as diagnostic marker for the early detection of infection.

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Section: Surgical Techniquementioning

confidence: 99%

Trend of Perioperative CRP (C-Reactive Protein) Levels in Non-Infected Total Knee Arthroplasty

et al. 2022

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Section: Introductionmentioning

confidence: 99%

“…For decades, ankle fusion has been the first choice in the management of end-stage ankle osteoarthritis [ 1 , 2 ]. However, total ankle replacement has evolved to be a viable alternative [ 1 , 2 ]. Especially in younger patients, this is one of the options due to the range of motion, and therefore, the quality of life is higher after total ankle arthroplasty [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Arthrodesis and Defect Bridging of the Upper Ankle Joint with Allograft Bone Chips and Allograft Cortical Bone Screws (Shark Screw®) after Removal of the Salto-Prosthesis in a Multimorbidity Patient: A Case Report

Pastl¹,

Pastl²,

Flöry³

et al. 2022

Life

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The case describes the revision of an upper ankle prosthesis because of loosening. When ankle replacement is the first choice and actual bone quality does not allow a replacement of the prosthesis, arthrodesis is the only way of reducing pain and gaining stability. The amount of missing bone due to the removed prosthesis was severe. Shark Screws®, made of human allograft cortical bone, were used to fix an allograft femoral head and tibia as well as fibula and talus to each other for stabilization. This was performed without any autologous bone graft and without metal screws. The human matrix of the cortical allograft allows the creation of new vessels followed by osteoblastic activity and production of new bone. The revascularization of the allografts reduces the risk of infection and wound problems. Over time, the patient’s bone metabolism allows the allografts to be remodeled into the patient’s bone. The case reported here had severe multimorbidity. The loosening of the prosthesis mainly affected the ability to perform housework, mobility, enjoying leisure, and it had a great impact on the emotion and well-being of the patient. One year after surgery, the patient is very satisfied to be able to walk without pain and scratches for about 90 min.

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“…While there is only one bone above the talus, there are twenty-six bones below, and any misalignment of the position of arthrodesis can increase wear of the cartilage on these twenty-six distal bones and can lead to dysfunction of the foot and degradation of the underlying joints. In the long-term, arthrodesis is not without problems because it causes at least a stiffening of the hindfoot joints, the other joints of the foot, and sometimes a degenerative degradation that obliges to extend the arthrodesis [15].…”

mentioning

confidence: 99%

“…The relative benefits of total ankle arthroplasty (TAA) and ankle fusion continue to be among the most debated foot and ankle surgery. Treatment selection is crucial for improving the quality of life [15]. Unfortunately, there are some problems associated with ankle arthrodesis, such as the possibility of degenerative changes in adjacent joints and gait abnormality due to a loss of motion; and there are also some problems associated with TAA, such as loosening and revision [17][18][19].…”

mentioning

confidence: 99%

Ankle and foot surgery: from arthrodesis to arthroplasty, three dimensional printing, sensors, artificial intelligence, machine learning technology, digital twins, and cell therapy

Hernigou¹,

Scarlat

2021

International Orthopaedics (SICOT)

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End-stage ankle osteoarthritis: arthroplasty offers better quality of life than arthrodesis with similar complication and re-operation rates—an updated meta-analysis of comparative studies

Cited by 25 publications

References 43 publications

Trend of Perioperative CRP (C-Reactive Protein) Levels in Non-Infected Total Knee Arthroplasty

Trend of Perioperative CRP (C-Reactive Protein) Levels in Non-Infected Total Knee Arthroplasty

Arthrodesis and Defect Bridging of the Upper Ankle Joint with Allograft Bone Chips and Allograft Cortical Bone Screws (Shark Screw®) after Removal of the Salto-Prosthesis in a Multimorbidity Patient: A Case Report

Ankle and foot surgery: from arthrodesis to arthroplasty, three dimensional printing, sensors, artificial intelligence, machine learning technology, digital twins, and cell therapy

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