Total ankle replacement and contralateral ankle arthrodesis in 16 patients from the Swedish Ankle Registry: Self-reported function and satisfaction

Henricson, Anders; Fredriksson, Martin; Carlsson, Åke

doi:10.1016/j.fas.2015.04.007

Cited by 17 publications

(17 citation statements)

References 25 publications

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“…This is in accordance with results from others 55. In a series of 16 patients with a TAR and a contralateral TAR, patients were equally satisfied with each ankle 56. The sparse literature covering this topic does not support the notion that end-stage bilateral OA should be treated with at least unilateral TAR.…”

Section: Comorbiditiessupporting

confidence: 82%

Patient selection for total ankle arthroplasty

Plaat

Haverkamp

2017

ORR

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Abstract:Total ankle arthroplasty is a treatment option for end-stage osteoarthritis of the ankle, as is ankle arthrodesis. Many variables, including patient characteristics, are thought to influence clinical outcome and survival. As with any surgery, but especially with total ankle replacement (TAR), patient selection is considered critical for good (long-term) outcome. In this review, we summarize the available scientific evidence regarding patient characteristics and its influence on the results of TAR.

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Section: Comorbiditiessupporting

confidence: 82%

Patient selection for total ankle arthroplasty

Plaat

Haverkamp

2017

ORR

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“…There were 6 works of literature excluded because they did not clearly compare the efficiency and safety of the two therapies (TAR and AAD), and another 7 studies were excluded because they could not be studied in the quantitative synthesis. Finally, 7 studies were included in the meta‐analysis because they met the eligibility criteria. The process of the selection is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The follow‐up cycles were provided in all 7 studies, with the shortest one being 12.0 months and the longest being 77.0 months, while 5 studies showed the average age of patients. Five studies involved clinical outcome, 2 studies presented patient satisfaction, two studies compared complications, and four studies reported survival. Because of the lack of directly given data, the standard deviations were estimated for the clinical outcome part of the studies by Mehdi and Pedowitz.…”

Section: Resultsmentioning

confidence: 99%

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Comparison of the Efficiency and Safety of Total Ankle Replacement and Ankle Arthrodesis in the Treatment of Osteoarthritis: An Updated Systematic Review and Meta‐analysis

2020

Orthopaedic Surgery

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While osteoarthritis is a common degenerative disease, ankle osteoarthritis is a subdivision that has received little attention. Two effective ways to treat osteoarthritis of the ankle are total ankle replacement (TAR) and ankle arthrodesis (AAD). Whether TAR or AAD is more beneficial for treatment is controversial. The purpose of this meta-analysis was to compare the efficiency (clinical outcome and patient satisfaction) and safety (complications and survival) of these two procedures. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was performed as a guideline for this study. Three electronic databases, PubMed, Web of Science, and Cochrane Library, were searched up to May 2019, with no language restrictions. Prospective or retrospective comparative studies were identified. The outcomes included clinical outcome, patient satisfaction, complications, and survival. Review Manager (Revman) 5.3 software was used to conduct the data analysis. We only selected literature from the past 5 years (no earlier than 2015). Seven comparative studies were included. There were six cohort studies and one crosssectional study. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of cohort studies, and The Agency for Healthcare Research and Quality (AHRQ) checklist was chosen to assess the quality of cross-sectional studies. No significant difference was observed for efficiency and safety. Clinical outcome was included in five studies with four different scoring systems. Two of them used the American Orthopaedic Foot & Ankle Society (AOFAS) questionnaire scores to assess the two procedures (mean difference, −4.26; 95% confidence interval [CI], −11.37-2.85; P = 0.24; I 2 = 1%). Patient satisfaction (risk ratio [RR], 0.96; 95% CI, 0.65-1.40; P = 0.82; I 2 = 54%), complications (RR, 1.15; 95% CI,; P = 0.89; I 2 = 84%), and survival (RR, 1.91; 95% CI, 0.33-11.08; P = 0.47; I 2 = 90%) showed no significant difference between the TAR group and the AAD group. This meta-analysis showed no statistically significant difference between TAR and AAD in clinical outcome, patient satisfaction, complications, and survival. This revealed that TAR and AAD could appear to have similar results in these aspects. Therefore, the present results are not sufficient to conclude which of these two methods is better. Further studies are needed to obtain more clues.

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“… 2015 , Henricson et al. 2016 ). However, in the longer perspective reoperation rates are higher after TAR than after AA (Kamrad et al.…”

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confidence: 99%

Good outcome scores and high satisfaction rate after primary total ankle replacement

et al. 2017

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Background and purpose — Total ankle replacement (TAR) is gaining popularity for treatment of end-stage ankle arthritis. Large patient-centered outcome studies are, however, few. Here, we report data from the Swedish Ankle Registry.Patients and methods — We examined outcomes after primary TAR in patients from the Swedish Ankle Registry using PROMs (Patient Reported Outcome Measures; generic: EQ-5D and SF-36, region specific: SEFAS (Self-Reported Foot and Ankle Score), and a question on satisfaction). We included 241 patients registered with primary TAR between 2008 and 2016 and who completed PROMs preoperatively and postoperatively up to 24 months. We evaluated changes in PROMs following surgery and estimated effects of age, diagnosis, prosthetic design, and preoperative functional score on the outcomes.Results — All absolute scores improved from preoperative to 24 months after surgery (p ≤ 0.001). 71% of the patients were satisfied or very satisfied at the latest follow-up and 12% dissatisfied or very dissatisfied. Postoperative SEFAS correlated with age (r = 0.2, p = 0.01) and preoperative SEFAS (r = 0.3, p < 0.001), as did patient satisfaction (r = −0.2; p ≤ 0.03). Postoperative SEFAS and EQ-5D were similar between different diagnoses or prosthetic designs. Preoperative SF-36 was associated with diagnosis (p ≤ 0.03), postoperative SF-36 with age (r = 0.2, p = 0.01) and diagnosis (p < 0.03).Interpretation — We found statistically and clinically significant improvements in patient-reported outcomes following TAR surgery. The postoperative region-specific SEFAS was positively associated with older age. Prosthetic design seemed not to influence patient-reported outcome, whereas diagnosis partly did. Studies with longer follow-up are necessary to establish the long-term outcome of TAR and to elucidate whether short- and mid-term outcomes may predict implant failure.

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Total ankle replacement and contralateral ankle arthrodesis in 16 patients from the Swedish Ankle Registry: Self-reported function and satisfaction

Cited by 17 publications

References 25 publications

Patient selection for total ankle arthroplasty

Patient selection for total ankle arthroplasty

Comparison of the Efficiency and Safety of Total Ankle Replacement and Ankle Arthrodesis in the Treatment of Osteoarthritis: An Updated Systematic Review and Meta‐analysis

Good outcome scores and high satisfaction rate after primary total ankle replacement

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