Prospective Cohort Study on the Employment Status of Working Age Patients After Recovery From Ankle Arthritis Surgery

Gagné, Oliver; Veljkovic, Andrea; Glazebrook, Mark; Daniels, Timothy R.; Penner, Murray; Wing, Kevin; Younger, Alastair

doi:10.1177/1071100718757722

Cited by 10 publications

(9 citation statements)

References 43 publications

(58 reference statements)

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“…10,32,35 In Canada, ankle arthritis causes a significant burden on patients and impact on provincial health spending and lost wages. 15 The incidence and prevalence of ankle arthritis has risen in Canada since 2000 and is predicted to continue rising. 21,30 To measure the impact of the condition on patients' health, disability, and disease burden, strong instruments are needed.…”

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confidence: 99%

Validation of the Ankle Osteoarthritis Scale Instrument for Preoperative Evaluation of End-Stage Ankle Arthritis Patients Using Item Response Theory

et al. 2019

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Background: Significant ankle arthritis results in functional limitations and patient morbidity. There is a need to measure symptoms and the impact of interventions on patient’s quality of life using valid and reliable patient-reported measurement instruments. The objective of this research was to validate the Ankle Osteoarthritis Scale instrument in the preoperative setting using factor analysis, item response theory, and differential item function methods. Methods: This research is based on secondary analysis of patients scheduled for ankle arthrodesis or total ankle replacement in Vancouver, Canada. Participants completed the instrument between September 2014 and August 2017. Item response theory was used to estimate item difficulty and discrimination parameters, controlling for study participants’ underlying level of ankle function. Differential item function was examined for sex, age group, and surgery. There were 88 participants. Results: Modification indices suggested that item 10, “walking around the house,” would better fit the pain domain rather than the disability domain. Items in the pain domain displayed a range of discrimination and difficulty. Items in the disability domain exhibited a range of discrimination, though the disability domain had low difficulty. Differential item functioning for sex, age group, and ankle arthrodesis or total ankle replacement appeared to be ignorable. Conclusion: This evaluation of the Ankle Osteoarthritis Scale found the instrument to be a strong measure of the effect of pain and dysfunction among patients with end-stage ankle arthritis, even when removing items 7 and 8, supporting its prior use in numerous clinical studies. Level of Evidence: Level II, prospective comparative study.

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Validation of the Ankle Osteoarthritis Scale Instrument for Preoperative Evaluation of End-Stage Ankle Arthritis Patients Using Item Response Theory

et al. 2019

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“…80 , 81 Once trauma occurs, ankle arthritis can become a significant source of morbidity with multiple potential treatment options. 82 Ankle arthroplasty is a treatment option when substantial OA with multifocal chondral damage has already occurred, but the results of ankle arthroplasty are behind that seen in the knee and hip. 83 An alternative to arthroplasty is ankle arthrodesis, however this is associated with limited range of motion, secondary mid/hindfoot arthritis, and a relatively high risk of postoperative infection and nonunion.…”

Section: Anklementioning

confidence: 99%

Size of cartilage defects and the need for repair: a systematic review

Husen

Custers

Hevesi

et al. 2022

Journal of Cartilage & Joint Preservation

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“…42 Surgical treatment has been shown to improve unemployment rates and be cost-effective on a societal level. 38 Ankle arthritis is increasingly recognized as a major source of morbidity, impacting younger adults in their most societally and monetarily productive years (age 55 for fusions and 63 for replacements 130 ). This cohort of 55year-olds likely have 10 more productive work years prior to retirement as compared to hip or knee arthritis patients who are already in their retirement years (65 in total hip arthroplasty and 66 in total knee arthroplasty 106 ).…”

Section: Introductionmentioning

confidence: 99%

“…Although less prevalent than in the hip or knee, 24 ankle arthritis can lead to a greater societal impact by detrimentally affecting vocational abilities and resulting in loss of employment productivity, because of the younger age of onset. 38…”

Section: Introductionmentioning

confidence: 99%

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Ankle Arthritis

Veljkovic

Salat

et al. 2019

Foot & Ankle Orthopaedics

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Ankle arthritis is a major source of morbidity impacting a younger working age population than hip and knee arthritis. Unlike the hip and knee, more than 70% of ankle arthritis cases are post-traumatic, with the remainder being inflammatory or primary arthritis. Nonoperative treatment begins with lifestyle and shoe-wear modifications and progresses to bracing, physical therapy, anti-inflammatory medications, and intra-articular injections. Ankle arthrodesis and total ankle arthroplasty are the 2 main surgical options for end-stage ankle arthritis, with debridement, realignment osteotomy, and distraction arthroplasty being appropriate for limited indications.Level of Evidence:Level V, expert opinion.

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Prospective Cohort Study on the Employment Status of Working Age Patients After Recovery From Ankle Arthritis Surgery

Abstract: Level II, prospective comparative study.

Cited by 10 publications

References 43 publications

Validation of the Ankle Osteoarthritis Scale Instrument for Preoperative Evaluation of End-Stage Ankle Arthritis Patients Using Item Response Theory

Validation of the Ankle Osteoarthritis Scale Instrument for Preoperative Evaluation of End-Stage Ankle Arthritis Patients Using Item Response Theory

Size of cartilage defects and the need for repair: a systematic review

Ankle Arthritis

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