Total ankle replacement for posttraumatic arthritis. Similar outcome in postfracture and instability arthritis: a comparison of 90 ankles

Acta Orthopaedica
Rebecca A Nieuwe WemeH C Doets

Abstract

Most studies on total ankle replacement (TAR) have used a case mix of patients. We evaluated the outcome of TAR performed for end-stage arthritis either because of fracture or ligamentous injury. We prospectively followed 88 consecutive patients (50 postfracture ankles and 40 ankles with instability arthritis (2 bilateral)) who underwent TAR between 2001 and 2009. Mean follow-up for both groups was 5 years. Preoperative varus deformity of 10° or more was present in 23 ankles in the instability group. At 6 years, survival with revision or salvage fusion as an endpoint was 87% (95% CI: 74-99) in the postfracture group and 79% (95% CI: 63-94) in the instability group. Progressive periprosthetic osteolysis was seen in 23 ankles, and required salvage fusion in 6. The number of reoperations was similar in both groups. Clinical outcome, as assessed with 2 ankle scores and 2 questionnaires, showed good results and was similar at the latest follow-up. The outcome was similar in the postfracture and instability groups and also similar to that reported in series including a case mix of patients. In contrast to earlier reports, preoperative frontal plane deformity in this series was not identified as a risk factor for failure.

References

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Citations

Jun 2, 2015·Acta Orthopaedica·Jan Willem K Louwerens
Aug 16, 2018·Foot & Ankle International·Adam BennettMalik Siddique
Jan 16, 2020·Journal of Orthopaedic Trauma·J Chris CoetzeeM Russell Giveans
Mar 27, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Nihar S ShahRichard Laughlin
Jun 6, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·A MazzottiC Faldini

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Methods Mentioned

BETA
lavage

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