Early Functional, Radiological Outcomes and Satisfaction Rates of Total Ankle Arthroplasty in an Asian Population

Background. Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. Methods. Patients who underwent primary total ankle arthroplasty from 2007 to 2...

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Veröffentlicht in:Foot and ankle specialist 2018-10, Vol.11 (5), p.425-432
Hauptverfasser: Tan, Shi Ming, Bin Abd Razak, Hamid Rahmatullah, Singh Rikhraj, Inderjeet
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container_title Foot and ankle specialist
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creator Tan, Shi Ming
Bin Abd Razak, Hamid Rahmatullah
Singh Rikhraj, Inderjeet
description Background. Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. Methods. Patients who underwent primary total ankle arthroplasty from 2007 to 2013 were recruited. Outcomes evaluated were the AOFAS Ankle-Hindfoot Score (AHS), Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)questionnaire. Outcome scores were collected prospectively up to 2 years. Patient satisfaction was evaluated on a 6-point scale based on North American Spine Society Low Back Pain Instrument and classified as satisfied or unsatisfied. Results. Forty-one patients underwent primary total ankle arthroplasty. All patients experienced improvements in AHS, VAS, and Mental Component Summary score of the SF-36 at both 6-month and 2-year postoperative interval. The mean AHS score improved from 35 ± 19 points preoperatively to 64 ± 24 at 6 months (P
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Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. Methods. Patients who underwent primary total ankle arthroplasty from 2007 to 2013 were recruited. Outcomes evaluated were the AOFAS Ankle-Hindfoot Score (AHS), Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)questionnaire. Outcome scores were collected prospectively up to 2 years. Patient satisfaction was evaluated on a 6-point scale based on North American Spine Society Low Back Pain Instrument and classified as satisfied or unsatisfied. Results. Forty-one patients underwent primary total ankle arthroplasty. All patients experienced improvements in AHS, VAS, and Mental Component Summary score of the SF-36 at both 6-month and 2-year postoperative interval. The mean AHS score improved from 35 ± 19 points preoperatively to 64 ± 24 at 6 months (P&lt;.001) and 72 ± 26 at 24 months (P &lt;.001). VAS scores improved from 7 ± 2 preoperatively to 3 ± 3 (P &lt; .001) at 6 and 24 months. The Physical Component Summary (PCS) of the SF-36 has an established minimum clinically important difference (MCID) of 5. The mean improvement in PCS in our cohort met this MCID for the PCS; 63% and 71% of patients were satisfied with the procedure at 6 months and 2 years postoperatively, respectively. Revision rate in this series was 9.7%. Conclusion. Total ankle arthroplasty has good patient satisfaction rates, with favorable early clinical outcome in Asian patients. Levels of Evidence: Therapeutic, Level II</description><identifier>ISSN: 1938-6400</identifier><identifier>EISSN: 1938-7636</identifier><identifier>DOI: 10.1177/1938640017750252</identifier><identifier>PMID: 29325423</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Ankle Joint - diagnostic imaging ; Ankle Joint - surgery ; Arthroplasty, Replacement, Ankle - methods ; Asian Continental Ancestry Group - statistics &amp; numerical data ; Cohort Studies ; Female ; Humans ; Joint Prosthesis ; Male ; Middle Aged ; Osteoarthritis - diagnostic imaging ; Osteoarthritis - ethnology ; Osteoarthritis - surgery ; Pain Measurement ; Patient Satisfaction - ethnology ; Patient Satisfaction - statistics &amp; numerical data ; Postoperative Care - methods ; Prosthesis Design ; Radiography - methods ; Range of Motion, Articular - physiology ; Recovery of Function - physiology ; Registries ; Retrospective Studies ; Time Factors</subject><ispartof>Foot and ankle specialist, 2018-10, Vol.11 (5), p.425-432</ispartof><rights>2018 The Author(s)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c252t-4bed102a1b88f056a00850850838a83d93cafc6179e46504bd904675dd1f28143</citedby><cites>FETCH-LOGICAL-c252t-4bed102a1b88f056a00850850838a83d93cafc6179e46504bd904675dd1f28143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1938640017750252$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1938640017750252$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29325423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Shi Ming</creatorcontrib><creatorcontrib>Bin Abd Razak, Hamid Rahmatullah</creatorcontrib><creatorcontrib>Singh Rikhraj, Inderjeet</creatorcontrib><title>Early Functional, Radiological Outcomes and Satisfaction Rates of Total Ankle Arthroplasty in an Asian Population</title><title>Foot and ankle specialist</title><addtitle>Foot Ankle Spec</addtitle><description>Background. Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. Methods. Patients who underwent primary total ankle arthroplasty from 2007 to 2013 were recruited. Outcomes evaluated were the AOFAS Ankle-Hindfoot Score (AHS), Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)questionnaire. Outcome scores were collected prospectively up to 2 years. Patient satisfaction was evaluated on a 6-point scale based on North American Spine Society Low Back Pain Instrument and classified as satisfied or unsatisfied. Results. Forty-one patients underwent primary total ankle arthroplasty. All patients experienced improvements in AHS, VAS, and Mental Component Summary score of the SF-36 at both 6-month and 2-year postoperative interval. The mean AHS score improved from 35 ± 19 points preoperatively to 64 ± 24 at 6 months (P&lt;.001) and 72 ± 26 at 24 months (P &lt;.001). VAS scores improved from 7 ± 2 preoperatively to 3 ± 3 (P &lt; .001) at 6 and 24 months. The Physical Component Summary (PCS) of the SF-36 has an established minimum clinically important difference (MCID) of 5. The mean improvement in PCS in our cohort met this MCID for the PCS; 63% and 71% of patients were satisfied with the procedure at 6 months and 2 years postoperatively, respectively. Revision rate in this series was 9.7%. Conclusion. Total ankle arthroplasty has good patient satisfaction rates, with favorable early clinical outcome in Asian patients. 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Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. Methods. Patients who underwent primary total ankle arthroplasty from 2007 to 2013 were recruited. Outcomes evaluated were the AOFAS Ankle-Hindfoot Score (AHS), Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)questionnaire. Outcome scores were collected prospectively up to 2 years. Patient satisfaction was evaluated on a 6-point scale based on North American Spine Society Low Back Pain Instrument and classified as satisfied or unsatisfied. Results. Forty-one patients underwent primary total ankle arthroplasty. All patients experienced improvements in AHS, VAS, and Mental Component Summary score of the SF-36 at both 6-month and 2-year postoperative interval. The mean AHS score improved from 35 ± 19 points preoperatively to 64 ± 24 at 6 months (P&lt;.001) and 72 ± 26 at 24 months (P &lt;.001). VAS scores improved from 7 ± 2 preoperatively to 3 ± 3 (P &lt; .001) at 6 and 24 months. The Physical Component Summary (PCS) of the SF-36 has an established minimum clinically important difference (MCID) of 5. The mean improvement in PCS in our cohort met this MCID for the PCS; 63% and 71% of patients were satisfied with the procedure at 6 months and 2 years postoperatively, respectively. Revision rate in this series was 9.7%. Conclusion. Total ankle arthroplasty has good patient satisfaction rates, with favorable early clinical outcome in Asian patients. Levels of Evidence: Therapeutic, Level II</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>29325423</pmid><doi>10.1177/1938640017750252</doi><tpages>8</tpages></addata></record>
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subjects Aged
Ankle Joint - diagnostic imaging
Ankle Joint - surgery
Arthroplasty, Replacement, Ankle - methods
Asian Continental Ancestry Group - statistics & numerical data
Cohort Studies
Female
Humans
Joint Prosthesis
Male
Middle Aged
Osteoarthritis - diagnostic imaging
Osteoarthritis - ethnology
Osteoarthritis - surgery
Pain Measurement
Patient Satisfaction - ethnology
Patient Satisfaction - statistics & numerical data
Postoperative Care - methods
Prosthesis Design
Radiography - methods
Range of Motion, Articular - physiology
Recovery of Function - physiology
Registries
Retrospective Studies
Time Factors
title Early Functional, Radiological Outcomes and Satisfaction Rates of Total Ankle Arthroplasty in an Asian Population
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