Frequency and Impact of Adverse Events in Patients Undergoing Surgery for End-Stage Ankle Arthritis

Norvell, Daniel C; Shofer, Jane B.; Hansen, Sigvard T.; Davitt, James; Anderson, John G.; Bohay, Donald R.; Coetzee, J. N.; Maskill, John D.; Brage, Michael E.; Houghton, Michael J.; Ledoux, William R.; Sangeorzan, Bruce J.

doi:10.1177/1071100718776021

Cited by 21 publications

(23 citation statements)

References 38 publications

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“…There were 6 works of literature excluded because they did not clearly compare the efficiency and safety of the two therapies (TAR and AAD), and another 7 studies were excluded because they could not be studied in the quantitative synthesis. Finally, 7 studies were included in the meta‐analysis because they met the eligibility criteria. The process of the selection is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The follow‐up cycles were provided in all 7 studies, with the shortest one being 12.0 months and the longest being 77.0 months, while 5 studies showed the average age of patients. Five studies involved clinical outcome, 2 studies presented patient satisfaction, two studies compared complications, and four studies reported survival. Because of the lack of directly given data, the standard deviations were estimated for the clinical outcome part of the studies by Mehdi and Pedowitz.…”

Section: Resultsmentioning

confidence: 99%

“…The quality of the 7 studies was evaluated, with 6 cohort studies and 1 cross‐sectional study included. Cohort studies were assessed using the NOS, and the cross‐sectional study was assessed using AHRQ checklist.…”

Section: Resultsmentioning

confidence: 99%

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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

2020

Orthopaedic Surgery

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While osteoarthritis is a common degenerative disease, ankle osteoarthritis is a subdivision that has received little attention. Two effective ways to treat osteoarthritis of the ankle are total ankle replacement (TAR) and ankle arthrodesis (AAD). Whether TAR or AAD is more beneficial for treatment is controversial. The purpose of this meta-analysis was to compare the efficiency (clinical outcome and patient satisfaction) and safety (complications and survival) of these two procedures. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was performed as a guideline for this study. Three electronic databases, PubMed, Web of Science, and Cochrane Library, were searched up to May 2019, with no language restrictions. Prospective or retrospective comparative studies were identified. The outcomes included clinical outcome, patient satisfaction, complications, and survival. Review Manager (Revman) 5.3 software was used to conduct the data analysis. We only selected literature from the past 5 years (no earlier than 2015). Seven comparative studies were included. There were six cohort studies and one crosssectional study. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of cohort studies, and The Agency for Healthcare Research and Quality (AHRQ) checklist was chosen to assess the quality of cross-sectional studies. No significant difference was observed for efficiency and safety. Clinical outcome was included in five studies with four different scoring systems. Two of them used the American Orthopaedic Foot & Ankle Society (AOFAS) questionnaire scores to assess the two procedures (mean difference, −4.26; 95% confidence interval [CI], −11.37-2.85; P = 0.24; I 2 = 1%). Patient satisfaction (risk ratio [RR], 0.96; 95% CI, 0.65-1.40; P = 0.82; I 2 = 54%), complications (RR, 1.15; 95% CI,; P = 0.89; I 2 = 84%), and survival (RR, 1.91; 95% CI, 0.33-11.08; P = 0.47; I 2 = 90%) showed no significant difference between the TAR group and the AAD group. This meta-analysis showed no statistically significant difference between TAR and AAD in clinical outcome, patient satisfaction, complications, and survival. This revealed that TAR and AAD could appear to have similar results in these aspects. Therefore, the present results are not sufficient to conclude which of these two methods is better. Further studies are needed to obtain more clues.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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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

2020

Orthopaedic Surgery

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“…lower falls self-efficacy). Previous publications have categorised the level of concern about falling as: low (scores of [16][17][18][19], moderate (scores of [20][21][22][23][24][25][26][27] and high (scores of 327 . This instrument has excellent internal and test-retest reliability (Cronbach's alpha=0.96, ICC=0.96) 326 .…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Nonetheless, there is a scarcity of scientific data in the area of ankle OA. Much of the research focus on ankle OA is related to the technical and clinical success of ankle surgical intervention [24][25][26][27][28][29] . Further, most studies to date have focused on people during the latter stage of the OA.…”

Section: Chapter 1 Introductionmentioning

confidence: 99%

Understanding the physical and psychological impairments and associated disability characterising individuals with ankle symptoms and osteoarthritis

Mahrouqi¹

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Musculoskeletal conditions are prevalent worldwide and are associated with pain, disability and impaired quality of life (QoL). Osteoarthritis (OA) is a common, costly and disabling musculoskeletal condition. Lower limb OA research has focussed on the hip and knee and, as a consequence, impairments characterising ankle OA are not well understood.This thesis aims to advance our understanding of the physical, functional and psychological impairments and associated disability in individuals with persistent ankle symptoms and in those with radiographic evidence of ankle OA. Study 1: A systematic literature review and meta-analysis was conducted to synthesise and appraise the quality of studies investigating physical impairments in ankle OA. The review identified eight studies, three of which were included in the meta-analyses. Meta-analyses revealed large impairments of ankle sagittal plane range of motion (ROM) on the affected compared to the unaffected side and less sagittal plane torque in ankle OA compared to controls. Evidence from single studies indicated deficits in frontal plane ROM and strength, talar translation and rotation, balance, electromyography of ankle muscles, abnormal bony alignments and greater fatty infiltrate in all calf muscle compartments in individuals with ankle OA. Critical appraisal of the literature revealed limitations surrounding assessor blinding, measurement validity, and lack of generalization. Study 2: A cross-sectional laboratory study of 96 participants compared physical measures of function, strength, ROM and posture and patient-reported outcomes in 1) individuals with symptoms and radiographic evidence of ankle OA to asymptomatic individuals; and 2) asymptomatic individuals with and without radiographic evidence of ankle OA. Those with symptomatic OA reported greater pain, disability, instability, kinesiophobia, lower function and QoL, and exhibited significant deficits in muscle strength, ROM and ambulatory function compared to asymptomatic individuals. Most patient-reported and physical outcomes were similar between asymptomatic individuals with and without radiographic OA. Stair function times were significantly associated with QoL and self-reported function. ii Study 3: A cross-sectional exploratory survey (n=394) was conducted to compare selfreported daily living and sports function, ankle pain and disability, physical activity, ankle instability, and QoL between individuals with and without persistent ankle pain and stiffness, and to explore factors associated with QoL. Individuals with ankle symptoms reported worse scores for all measures, except self-reported physical activity. Daily living function and age explained 66% of the variance in QoL. Study 4: Individuals with and without persistent ankle pain and stiffness (n= 231) participated in an online survey to obtain data about pain severity, pain self-efficacy, anxiety, depression, kinesiophobia, pain catastrophizing, and function. Individuals with persistent ankle pain reported higher pain and depressive symptoms, an...

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A comparative study of modern total ankle replacement and ankle arthrodesis for ankle osteoarthritis at different follow-up times: a systematic review and meta-analysis

Liu

Wang

Zhang

et al. 2023

International Orthopaedics (SICOT)

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Frequency and Impact of Adverse Events in Patients Undergoing Surgery for End-Stage Ankle Arthritis

Abstract: Level II, prospective comparative study.

Cited by 21 publications

References 38 publications

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

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

Understanding the physical and psychological impairments and associated disability characterising individuals with ankle symptoms and osteoarthritis

A comparative study of modern total ankle replacement and ankle arthrodesis for ankle osteoarthritis at different follow-up times: a systematic review and meta-analysis

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