Total ankle arthroplasty versus ankle arthrodesis. Comparison of sports, recreational activities and functional outcome

Schuh, Reinhard; Hofstaetter, Jochen G.; Krismer, Martin; Bevoni, Roberto; Windhager, Reinhard; Trnka, Hans Joerg

doi:10.1007/s00264-011-1455-8

Cited by 122 publications

(89 citation statements)

References 41 publications

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“…Despite high numbers of failures in early generations of total ankle arthroplasty (TAA), a continued and increasing interest in the use of these devices for end-stage arthritis as an alternative to arthrodesis of the ankle exists [1][2][3][4][5]. However, while some studies report encouraging mid-term results, the rate of complications after TAA is high compared to total hip and knee replacement [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Noelle

Egidy

Cross

et al. 2013

International Orthopaedics (SICOT)

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Introduction Total ankle arthroplasty is increasingly used as an alternative to arthrodesis to treat advanced ankle arthritis. However, the outcomes and postoperative complications are poorly described. Patients and methods Between March 2005 and May 2010 114 S.T.A.R. prostheses were implanted by one surgeon at our institution. We retrospectively analysed the demographics, clinical outcomes and radiographic characteristics of 100 ankle prostheses (97 patients).Results The average follow up was 36 months. The average preoperative AOFAS score of 36.87 (22-58) significantly increased to 75.99 postoperative. A total of 87 % of the patients reported a better life quality. Twenty-seven ankles incurred complications after primary surgery, and 21 prostheses required revision surgery, including four patients who required arthrodesis. Conclusion Our study shows a high satisfaction rate after total ankle replacement and clear pain relief. Patients with a body mass Index higher than 30 showed a higher rate of complications. Compared with ankle fusion, the rates of complications are comparable.

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Section: Introductionmentioning

confidence: 99%

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Noelle

Egidy

Cross

et al. 2013

International Orthopaedics (SICOT)

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“…This selection is likely because failure of total ankle arthroplasty is more difficult and complex to reoperate or to salvage than is failure of arthrodesis [1,21]. Once fusion is achieved, the risk of failure after arthrodesis is lower compared with total ankle arthroplasty [15,22]. Compared to arthrodesis, the primary advantages of total ankle replacements are maintenance of motion of the ankle and reduced risk of developing adjacent joint arthritis.…”

Section: Resultsmentioning

confidence: 99%

“…Every patient's individual combination of criteria has to be assessed and balanced thoroughly before surgery [14,15]. The author's personal major and minor criteria for decision making between arthrodesis versus total ankle arthroplasty are listed in study.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Clinical Effect of Ankle Arthrodesis and Total Ankle Arthroplasty for End-stage Ankle Arthritis

Xiaobing¹

2014

Clin Res Foot Ankle

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Objective: Arthrodesis as well as total ankle arthroplasty has been recently reported as an effective therapy for end-stage ankle arthritis. In this paper, we expand both surgical technique and retrospectively review our experience with evaluation of clinical effect of arthrodesis and total replacement for end-stage ankle arthritis.Methods: 14 patients after arthrodesis (A group) and 16 patients after total ankle arthroplasty (B group) for endstage osteoarthritis of the ankle joint were followed clinically and radiologically 5 years (range: 2.1-8.6) after surgery. To evaluate the outcome, a clinical scoring system (AOFAS, Kellgren and Lawrence) and by gait analysis (Vicon 612 System) were used. Results:The pre-and post-operative mean AOFAS score was 38.5 ± 2.3 and 74.3 ± 2.1 points in A group. The mean score was 38.1 ± 2.4 and 80.3 ± 2.2 points in B group, with statistical significance. Spatio-temporal parameters obtained with gait analysis showed a progressive recovery to normality. In A group, mean stride length normalized (%high) was 60.5 pre-op and exactly 70.5 both at 6 and 12 months; speed rose from 80.4 cm/s to 96.8 cm/s at 6 months and 99.1 cm/s at 12 months, In B group, mean stride length normalized (%high) was 62.6 pre-op and exactly 74.3 both at 6 and 12 months; speed rose from 81.5 cm/s to 97.9 cm/s at 6 months and 100 cm/s at 12 months. Both with statistical significance six patients in B group and three patients in A group showed radiological evidence of degeneration of the talonavicular joint and the subtalar joint. We noted only one case with degeneration of the calcaneocuboid joint in B group. Conclusion:Our study revealed arthrodesis as well as total ankle arthroplasty have been recently reported as an effective surgical technique for end-stage ankle arthritis.

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“…The few studies that have looked at postoperative physical activity and athletic participation rates following TAR describe varying results and provide little guidance for surgeons [9][10][11][12]. While it appears that both physical activity and sports participation tend to increase after total ankle replacement, no one has actually studied surgeon comfort, rationale, or preference regarding return to these specific activities.…”

Section: Introductionmentioning

confidence: 92%

Sport and activity restrictions following total ankle replacement: A survey of orthopaedic foot and ankle specialists

Macaulay

VanValkenburg²,

DiGiovanni

2015

Foot and Ankle Surgery

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Total ankle arthroplasty versus ankle arthrodesis. Comparison of sports, recreational activities and functional outcome

Cited by 122 publications

References 41 publications

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Evaluation of Clinical Effect of Ankle Arthrodesis and Total Ankle Arthroplasty for End-stage Ankle Arthritis

Sport and activity restrictions following total ankle replacement: A survey of orthopaedic foot and ankle specialists

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