Sports Activity in Patients with Total Ankle Replacement

Hörterer, Hubert; Miltner, Oliver; Müller-Rath, R.; Phisitkul, Phinit; Barg, Alexej

doi:10.1016/j.orthtr.2014.12.011

Cited by 11 publications

(6 citation statements)

References 24 publications

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“…In this respect, as a consequence of the impressive progress achieved in ankle prosthesis designs and clinical outcome following TAR, ankle arthrodesis is no longer the standard treatment for end-stage ankle OA. 18 …”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the first clinical study on sport and recreation activities in patients who underwent TAR published in 2006 found that the rate of sports participation increased from 36% preoperatively to 56% postoperatively. 21 Furthermore, some authors pointed out that patients active in sports were not at higher risk for failure compared with other groups 18 ; Naal et al reported that neither sports participation nor activity levels were identified as risk factors for development of periprosthetic radiolucencies. 14 …”

Section: Discussionmentioning

confidence: 99%

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Sports and Recreational Activities following Total Ankle Replacement

Usuelli

Pantalone

Maccario

et al. 2017

Joints

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Purpose In literature, there is a controversy regarding whether patients who have undergone total ankle replacement (TAR) can participate in sports and recreational activities. The purpose of this study was to report change in sports activity level after TAR. Methods A retrospective study was performed, enrolling 76 patients with symptomatic end-stage ankle arthritis who underwent TAR from May 2011 to October 2014. Patients were mainly males (44/76; 58%) and 56 years old on average (range: 22.3–79.6 years) at the time of surgery. They were treated with mobile-bearing prosthesis implanted with an anterior approach. Patients were evaluated preoperatively and 12 months postoperatively. Pain and function were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot score, the visual analog scale (VAS) pain score, and the 12-Item Short Form Health Survey (SF-12) – physical component summary (PCS) and mental component summary (MCS). Activity level was assessed with the University of California at Los Angeles (UCLA) activity scale. Results At 12 months postoperatively, statistically significant increase was reported for AOFAS scores (from 32.8 ± 12.7 preoperatively to 72.6 ± 13.3; p < 0.001), SF-12 PCS (from 34.3 ± 5.1 preoperatively to 45.4 ± 6.4; p < 0.001), and SF-12 MCS (from 39.8 ± 7.5 preoperatively to 51.4 ± 6.1; p < 0.001). A statistically significant decrease was detected in VAS pain score (from 8.7 ± 1.6 preoperatively to 2.2 ± 1.6; p < 0.001). The UCLA activity levels increased significantly from 2.4 ± 0.8 to 6.3 ± 2.3 ( p < 0.001). Conclusion Pain and function significantly improved in patients affected by ankle osteoarthritis, who underwent TAR, at 1-year follow-up. In addition, activity level showed a significant increase respect to preoperative condition. Level of Evidence Level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sports and Recreational Activities following Total Ankle Replacement

Usuelli

Pantalone

Maccario

et al. 2017

Joints

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“…* References 1,5,8,10,21,23,25,27,28,30,33,38,39. modifying their workplace requirements even existed. Similar studies 12,20,41 describing patients suffering from back pain found that return to work can be increased remarkably when the employer can offer work that is physically less demanding.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…A recent systematic review focused on the relationship between ankle replacement and sports activities 19. The review included five studies (one prospective and four retrospective, involving a total of 536 ankle replacements).…”

Section: Ankle Replacementmentioning

confidence: 99%

“…The authors of a systematic review that addressed the relationship between ankle replacement and sports activities do not recommend ‘high impact’ sports for patients who have had total ankle replacement,19 as high axial forces may result in a dramatic change in joint contact pressures.…”

Section: Ankle Replacementmentioning

confidence: 99%

Total ankle joint replacement

2016

DTB

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Ankle arthritis results in a stiff and painful ankle and can be a major cause of disability. For people with end-stage ankle arthritis, arthrodesis (ankle fusion) is effective at reducing pain in the shorter term, but results in a fixed joint, and over time the loss of mobility places stress on other joints in the foot that may lead to arthritis, pain and dysfunction. Another option is to perform a total ankle joint replacement, with the aim of giving the patient a mobile and pain-free ankle. In this article we review the efficacy of this procedure, including how it compares to ankle arthrodesis, and consider the indications and complications.

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Sports Activity in Patients with Total Ankle Replacement

Cited by 11 publications

References 24 publications

Sports and Recreational Activities following Total Ankle Replacement

Sports and Recreational Activities following Total Ankle Replacement

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

Total ankle joint replacement

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