National Trends in Foot and Ankle Arthrodesis: 17-Year Analysis of the National Survey of Ambulatory Surgery and National Hospital Discharge Survey

Buller, Leonard T.; Miranda, Alejandro

doi:10.1053/j.jfas.2015.04.023

Cited by 40 publications

(33 citation statements)

References 53 publications

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“…Best MJ et al reported that from 1994 to 2006, the population-adjusted rates of foot and ankle arthrodeses increased by 146%. The number of outpatient arthrodeses performed with arthroscopic assistance increased by 858% [21]. The capability of treating ankles with marked deformity, slightly shorter time of union, reduced complication rates, and lower costs compared with open surgery make arthroscopic ankle fusion a safe and reliable technique [10, 12, 22–25].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic arthrodesis for ankle arthritis without bone graft

2016

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BackgroundAnkle arthrodesis is considered by many to be the standard operative treatment for end-stage ankle arthritis. The purpose of this study was to perform a new technique for ankle joint surface and determine the outcome for the union rates of ankle arthroscopic arthrodesis.MethodsA total of 68 patients with posttraumatic arthritis, primary osteoarthritis, and rheumatoid arthritis were treated by ankle arthroscopic arthrodesis between May 2007 and December 2012. Our surgical indication was deformity less than 15° measured by weight-bearing radiographs. Firstly, the remaining articular cartilage was removed with different curettes and shavers. Then, the new technique (microfracture) was done at tibiotalar surfaces. Finally, the ankle was fixed with two cannulated percutaneous screws. The wound healing, complications, postoperative radiographs, and American Orthopaedic Foot and Ankle Society (AOFAS) score were evaluated.ResultsThe average follow-up time was 32 months (range 25–58 months). There was no bone grafting, and a fusion rate of 100% was achieved. The average fusion time was 12.1 weeks. One patient developed superficial infection at 2 weeks postoperatively and was cured by nonsurgical treatment. No deep infections, deep venous thrombosis, or revision surgery were observed. Screws had been removed in four patients because of prominence. One patient had fusion in the subtalar joint because of arthritis at 5 years postoperatively. At the last follow-up, radiographic signs of developed or progressing arthritis were observed in nine patients at subtalar joint and in four patients at talonavicular joint. At 1-year follow-up, the mean AOFAS ankle/hindfoot score had increased to 84 from a mean preoperative value of 38 (P < 0.01).ConclusionsArthroscopic arthrodesis provides surgeons with an alternative to traditional open techniques for the management of severe ankle arthritis. Our data show that preparation of the joint surface with microfracture is an effective technique to increase the union rate of arthroscopic ankle arthrodesis, while bone graft and other promoting substances are not necessary to be routinely used.Electronic supplementary materialThe online version of this article (doi:10.1186/s13018-016-0490-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic arthrodesis for ankle arthritis without bone graft

2016

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“…Ankle arthrodesis is increasingly performed with arthroscopic assistance [5, 6]. Uncomplicated fixation methods to maintain proper foot alignment long enough to achieve solid bone union is a major concern of many orthopedic surgeons [9, 10, 12-16].…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopic procedures give reliable and reproducible results, even in significant deformity [3, 4]. AAA has gained popularity among orthopedic surgeons over the last two decades [5, 6]. Fixation methods to maintain proper foot alignment long enough to achieve solid bone union, without the need for early hardware removal, is still a major concern [7-18].…”

Section: Introductionmentioning

confidence: 99%

Results of Arthroscopic Ankle Arthrodesis with Fixation Using Two Parallel Headless Compression Screws in a Heterogenic Group of Patients

Kołodziej

Sadlik²,

Sokolowski

et al. 2017

TOORTHJ

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Background:As orthopedic surgeons become skilled in ankle arthroscopy technique and evidence -based data is supporting its use, arthroscopic ankle arthrodesis (AAA) will likely continue to increase, but stabilization methods have not been described clearly. We present a technique for two parallel 7.3-mm headless compression screws fixation (HCSs) for AAA in cases of ankle arthritis with different etiology, both traumatic and non-traumatic, including neuromuscular and inflammatory patients.Materials and Methods:We retrospectively verified 24 consecutive patients (25 ankles) who underwent AAA between 2011 and 2015. The average follow-up was 26 months (range 18 to 52 months). Arthrodesis was performed in 16 patients due to posttraumatic arthritis (in 5 as a sequela of pilon, 6 ankles, 3 tibia fractures, and 2 had arthritis due to chronic instability after lateral ligament injury), in 4 patients due to neuromuscular ankle joint deformities, and in 4 patients due to rheumatoid arthritis.Results:Fusion occurred in 23 joints (92%) over an average of 12 weeks (range 6 to 18 weeks). Ankle arthrodesis was not achieved in 2 joints (8%), both in post-pilon fracture patients. The correct foot alignment was not achieved in 4 feet (16%). None of the treated patients required hardware removal.Conclusion:The presented technique was effective in achieving a high fusion rate in a variety of diseases, decreasing intra- and post-operative hardware complications while maintaining adequate bone stability.

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“…Respecto al número total de artroscopias por centro, los datos respecto al año 2000 son claramente diferentes: de 188 artroscopias por año de media en cada centro en 2000, se pasa a 410 artroscopias por centro en 2014, lo que presupone un incremento, esperado, del número de artroscopias totales, algo en sintonía con otros estudios que confirman que el número de procedimientos artroscópicos está en claro aumento en todas las articulaciones (4)(5)(6)(7) .…”

Section: Discussionunclassified

Epidemiología de los procedimientos artroscópicos en España. Resultados de la encuesta de actividad artroscópica de 2014

Prieto-Deza¹,

Calvo-Díaz²,

Cuéllar-Gutiérrez³

et al. 2017

REACA

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RESUMEN Objetivo: el objetivo de este estudio fue realizar una encuesta de la actividad artroscópica en el territorio español para el año 2014. Material y metodología: se obtuvo información estadística a través de una plataforma informática de los diferentes centros hospitalarios españoles, públicos y privados, donde se realizaba dicha actividad. Los datos estaban basados en un perfil general, otro referente a la actividad y un tercero referido a datos concretos de procedimientos artroscópicos por articulación. Se registraron 59.897 artroscopias que suponían un 30,8% de la muestra posible, lo que supone un importante incremento de actividad artroscópica en relación con estudios previos. Resultados: las articulaciones cuantitativamente más intervenidas fueron la rodilla y el hombro por ese orden, con un elevado protagonismo de los procedimientos en cirugía mayor ambulatoria con igual presencia en centros públicos y privados. Se detectó una aparición emergente de otras articulaciones como cadera, tobillo y mano-mu-ABSTRACT Epidemiology of arthroscopic procedures in Spain. Results of the 2014 arthroscope activity survey Objective: we perform a survey of arthroscopic activity in the Spanish territory for the year 2014. Material and methodology: statistical information was obtained through a computer platform of the different Spanish public and private hospitals where this activity was carried out. The data were based on a general profile, another on activity and a third on specific data on arthroscopic procedures by articulation. A total of 59,897 recorded arthroscopies were obtained, accounting for 30.8% of the possible sample. Which represents an important increase of arthroscopic activity in relation to previous studies. Results: the quantitatively most important joints were the knee and shoulder in that order, with a high profile of procedures in ambulatory major surgery with equal presence in public and private centers. An emergent appearance of other joints such as hip, ankle and hand-wrist was detected

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National Trends in Foot and Ankle Arthrodesis: 17-Year Analysis of the National Survey of Ambulatory Surgery and National Hospital Discharge Survey

Cited by 40 publications

References 53 publications

Arthroscopic arthrodesis for ankle arthritis without bone graft

Arthroscopic arthrodesis for ankle arthritis without bone graft

Results of Arthroscopic Ankle Arthrodesis with Fixation Using Two Parallel Headless Compression Screws in a Heterogenic Group of Patients

Epidemiología de los procedimientos artroscópicos en España. Resultados de la encuesta de actividad artroscópica de 2014

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