Trends in the Use of Total Ankle Replacement and Ankle Arthrodesis in the United States Medicare Population

Abstract

Level III, comparative series.

Incidence of Revision After Primary Implantation of the Salto® Mobile Version and Salto Talaris™ Total Ankle Prostheses: A Systematic Review

“…All these changes have in 1 form or another been implemented in the initially released and current Salto TalarisÔ total ankle prosthesis. The potential for a learning curve effect could also exist because the implantation of total ankle replacement systems in the United States has evolved from limited use in the late 1990s to commonplace at present (86,87). For instance, the Salto Ò mobile version prosthesis data included this learning curve (20,24,(31)(32)(33)(34)36); however, the Salto TalarisÔ Total Ankle Prostheses data included data from surgeons experienced with the implantation of total ankle replacement systems in general (24,(42)(43)(44)(45)(46).…”

Time trends and risk factors for perioperative complications in total ankle arthroplasty: retrospective analysis using a national database in Japan

“…Considering the fact that the DPC database covers more than 50 % of all inpatient admissions to acute-care hospitals in Japan, it can be estimated that 0.2 TAA per 100,000 inhabitants is performed annually in Japan. This figure is fairly low compared with 1 TAA per 100,000 inhabitants in Sweden, Norway, and the United Kingdom [4, 5, 19], approximately 2 per 100,000 inhabitants in Finland and Germany [13, 20], 0.6 to 2.5 per 100,000 inhabitants in Australia and New Zealand [6, 21], and 1.9 to 4.0 per 100,000 inhabitants in the United States [3, 22]. The ratio of TAA to ankle arthrodesis was also low in the present study (1:6), compared with 1:2–3 in the United States, France, and Germany [3, 18, 20, 23].…”

“…In particular, the duration of hospitalization in Japan is the longest among the Organisation for Economic Co-operation and Development countries [27], which might be attributed to factors including differences in healthcare systems and cultural norms. The duration of hospitalization of around 40 days after TAA in Japan (including the rehabilitation period) is far longer than that, for example, in the US, which is reportedly around 3 days [3, 22]. Owing to the longer duration of hospitalization in Japan, we consider that most of the perioperative complications were included in our analysis.…”

“…This sample showed an approximately 6-fold increase in TAA utilization in the previous decade, from 0.13 per 100,000 population in 1998 to 0.84 per 100,000 population in 2010 [2]. Another study from the United States using the Medicare database included 5871 patients who underwent TAA and 29532 patients who underwent ankle arthrodesis between 1991 and 2010; this study reported an increase in TAA volume from 72 procedures in 1991 to 888 in 2010 [3]. The study also revealed that the percentage of all United States hospitals performing TAA increased by approximately 4-fold from 3.1 % in 1991 to 12.6 % in 2010, while the proportion performing ankle arthrodesis remained unchanged.…”

Venous Thromboembolic Disease in Foot and Ankle Surgery

“…The use of total ankle arthroplasty has increased in the past two decades 48 . Accordingly, a recent qualitative review study examined thirty articles published between 1999 and 2013 to assess the rates of VTED after total ankle arthroplasty 49 .…”