Risk factors associated with failure of total ankle arthroplasty: a nationwide cohort study

Han, Kyungdo; Lee, Jin Woo; Kim, Soo Hyun; Kim, Bongsung; Koo, Bum Hwan; Kim, Hak Kyu; Choi, Gi Won

doi:10.1038/s41598-021-82674-7

Cited by 13 publications

(13 citation statements)

References 32 publications

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“…Our results are consistent with previous studies, which have shown that body weight has a negative prognostic role in total ankle arthroplasty. 3,5,29,35,40,53,62,64…”

Section: Discussionmentioning

confidence: 99%

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Obesity and Ankle Prosthesis Revision: A Systematic Review and Meta-analysis

Varga,

Váncsa,

Agócs

et al. 2023

Foot Ankle Int.

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Background: The increasing number of total ankle arthroplasties (TAAs) has led to growing evidence on the risk factors for complications after surgery. However, the role of obesity in this patient group has been the subject of much debate. Therefore, this systematic review aimed to investigate the evidence for untoward effects of obesity following TAA. Methods: We conducted a comprehensive search on April 28, 2023, in MEDLINE (via PubMed), Embase, and CENTRAL. Eligible observational studies reported on the short- and long-term outcomes of primary TAA, comparing patients with and without obesity (defined as body mass index > 30). Using a random effects model, we calculated pooled odds ratios (ORs) with 95% confidence intervals (CIs) from 2 by 2 tables (event and nonevent in the obese and nonobese primary TAA groups). Results: Nine studies with 10 388 patients were eligible for inclusion in the meta-analysis. We found significantly higher odds of revision in the obese group compared to the nonobese group (OR = 1.68, CI: 1.44-1.95). However, the odds of overall perioperative complications (OR = 1.55, CI: 0.50-4.80) and wound complications (OR = 1.34, CI: 0.29-6.20) were nonsignificantly higher in the obese group. Conclusion: Based on our results, obesity may have affected long-term outcomes following TAA and may have negatively affected the prosthesis’s survival.

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“…Our results are consistent with previous studies, which have shown that body weight has a negative prognostic role in total ankle arthroplasty. 3,5,29,35,40,53,62,64…”

Section: Discussionmentioning

confidence: 99%

“…The details of the selection process are presented in Figure 1. As a result, 9 studies with a total of 10 388 patients were eligible for inclusion in the quantitative analysis [6][7][8]15,16,26,53,62,64 and 28 in the narrative synthesis. [1][2][3][4][5][9][10][11]13,14,[17][18][19]23,25,29,[34][35][36]40,44,47,48,50,51,56,59,65…”

Section: Search and Selectionmentioning

confidence: 99%

Obesity and Ankle Prosthesis Revision: A Systematic Review and Meta-analysis

Varga,

Váncsa,

Agócs

et al. 2023

Foot Ankle Int.

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“…A correlation between increased BMI and perioperative outcomes has been reported, particularly surgical site infections and renal and respiratory complications, in patients undergoing total knee arthroplasty [ 11 ]. The risk of total ankle arthroplasty failure has increased in patients with obese [ 12 ]. Midgley et al highlighted in a literature review that this growing cohort of struggling patients is currently supported by existing care frameworks.…”

Section: Introductionmentioning

confidence: 99%

Overweight increases perioperative spinal surgery complications: a single-center retrospective study

Hirahata

Yasui

Fujita

et al. 2023

BMC Musculoskelet Disord

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Background The World Health Organization (WHO) defines a person with a body mass index (BMI) greater than or equal to 25 kg/m2 as overweight. Being overweight is a lifestyle-related disease; however, little is known about the impact of overweight on the perioperative complications of orthopedic surgery. This study aimed to define the effect of overweight on the perioperative complications of spinal surgery. Methods This retrospective case series study reviewed 269 consecutive patients who underwent spinal surgery. These patients were divided into the overweight (OW) and non-overweight (NOW) groups. Age, BMI, surgical time, blood loss, and perioperative complications were evaluated and compared between the groups. Results There were 117 patients (43%) in the OW group and 152 (57%) in the NOW group. Cervical surgery was performed in 72 cases, thoracic surgery in 34, and lumbosacral surgery in 159. The surgical time was significantly longer in the OW group than in the NOW group (204.6 ± 98 min vs. 175 ± 75 min; p = 0.01). Blood loss was greater in the OW group than in the NOW group (446.8 ± 447.9 mL vs. 279 ± 296.5 mL; p = 0.00). Durotomy was more frequent in the OW group than in the NOW group (10 vs. 3 cases; p = 0.02). There was no difference in complications other than durotomy. Conclusions OW patients had longer surgical time, more blood loss, and more frequent durotomy than NOW patients. These findings indicate that overweight increases perioperative complications of spinal surgery.

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“…A correlation between increased BMI and perioperative outcomes has been reported, particularly surgical site infections and renal and respiratory complications, in patients undergoing total knee arthroplasty [9]. The risk of total ankle arthroplasty failure has increased in patients with severe obesity having a BMI ≥ 30 kg/m 2 [10]. Midgley et al highlighted in a literature review that this growing cohort of struggling patients is currently supported by existing care frameworks.…”

Section: Introductionmentioning

confidence: 99%

Overweight increases perioperative spinal surgery complications: a single-center retrospective study

Hirahata

Yasui

Fujita

et al. 2022

Preprint

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Background: The World Health Organization (WHO) defines a person with a body mass index (BMI) greater than or equal to 25 kg/m2 as overweight. Being overweight is a lifestyle-related disease; however, little is known about the impact of overweight on the perioperative complications of orthopedic surgery. This study aimed to define the effect of overweight on the perioperative complications of spinal surgery. Methods: This retrospective case series study reviewed 269 consecutive patients who underwent spinal surgery. These patients were divided into the overweight (OW) and non-overweight (NOW) groups. Age, BMI, surgical time, blood loss, and perioperative complications were evaluated and compared between the groups. Results: There were 117 patients (43%) in the OW group and 152 (57%) in the NOW group. The surgical time was significantly longer in the OW group than in the NOW group (204.6 ± 98 min vs. 175 ± 75 min). Blood loss was greater in the OW group than in the NOW group (446.8 ± 447.9 mL vs. 279 ± 296.5 mL). Durotomy was more frequent in the OW group than in the NOW group (10 vs. 3 cases). Conclusions: OW patients had longer surgical time, more blood loss, and more frequent durotomy than NOW patients. These findings indicate that overweight increases perioperative complications of spinal surgery.

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Risk factors associated with failure of total ankle arthroplasty: a nationwide cohort study

Cited by 13 publications

References 32 publications

Obesity and Ankle Prosthesis Revision: A Systematic Review and Meta-analysis

Obesity and Ankle Prosthesis Revision: A Systematic Review and Meta-analysis

Overweight increases perioperative spinal surgery complications: a single-center retrospective study

Overweight increases perioperative spinal surgery complications: a single-center retrospective study

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