Complication rates after total ankle arthroplasty in one hundred consecutive prostheses
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 on...
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| Veröffentlicht in: | International orthopaedics 2013-09, Vol.37 (9), p.1789-1794 |
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| creator | Noelle, Stephanie Egidy, Claus C. Cross, Michael B. Gebauer, Matthias Klauser, Wolfgang |
| description | 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. |
| doi_str_mv | 10.1007/s00264-013-1971-9 |
| format | Article |
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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.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-013-1971-9</identifier><identifier>PMID: 23846957</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Ankle Joint - surgery ; Arthritis - surgery ; Arthroplasty, Replacement, Ankle - adverse effects ; Female ; Follow-Up Studies ; Humans ; Joint Prosthesis - adverse effects ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Patient Satisfaction ; Prosthesis Failure ; Retrospective Studies ; Risk Factors</subject><ispartof>International orthopaedics, 2013-09, Vol.37 (9), p.1789-1794</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-72f373787269ccc2ba45a7b41ad2d7d6b5879627612b16cf90c0e0223a7bedb23</citedby><cites>FETCH-LOGICAL-c442t-72f373787269ccc2ba45a7b41ad2d7d6b5879627612b16cf90c0e0223a7bedb23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764305/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764305/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23846957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noelle, Stephanie</creatorcontrib><creatorcontrib>Egidy, Claus C.</creatorcontrib><creatorcontrib>Cross, Michael B.</creatorcontrib><creatorcontrib>Gebauer, Matthias</creatorcontrib><creatorcontrib>Klauser, Wolfgang</creatorcontrib><title>Complication rates after total ankle arthroplasty in one hundred consecutive prostheses</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle Joint - surgery</subject><subject>Arthritis - surgery</subject><subject>Arthroplasty, Replacement, Ankle - adverse effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint Prosthesis - adverse effects</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Patient Satisfaction</subject><subject>Prosthesis Failure</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kclOwzAQhi0EomV5AC7IRy4Bb4mTCxKq2KRKXEAcLceZ0JTUDraD1LfHVaGCC6eRZv75Z_kQOqPkkhIirwIhrBAZoTyjlaRZtYemVHCW5bTK99GUcEEzVlT5BB2FsCSEyqKkh2jCeClSWk7R68ythr4zOnbOYq8jBKzbCB5HF3WPtX3vAWsfF94NvQ5xjTuLnQW8GG3jocHG2QBmjN0n4MG7EBcQIJygg1b3AU6_4zF6ubt9nj1k86f7x9nNPDNCsJhJ1nLJZSnTlsYYVmuRa1kLqhvWyKao81JWBZMFZTUtTFsRQ4AwxpMImprxY3S99R3GegWNARu97tXgu5X2a-V0p_5WbLdQb-5TcVkITvJkcPFt4N3HCCGqVRcM9L224Mag0j9JKSSVm1l0KzXpzOCh3Y2hRG2AqC0QlYCoDRBVpZ7z3_vtOn4IJAHbCkIq2TfwaulGb9PP_nH9ApBrmLk</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Noelle, Stephanie</creator><creator>Egidy, Claus C.</creator><creator>Cross, Michael B.</creator><creator>Gebauer, Matthias</creator><creator>Klauser, Wolfgang</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130901</creationdate><title>Complication rates after total ankle arthroplasty in one hundred consecutive prostheses</title><author>Noelle, Stephanie ; Egidy, Claus C. ; Cross, Michael B. ; Gebauer, Matthias ; Klauser, Wolfgang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-72f373787269ccc2ba45a7b41ad2d7d6b5879627612b16cf90c0e0223a7bedb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle Joint - surgery</topic><topic>Arthritis - surgery</topic><topic>Arthroplasty, Replacement, Ankle - adverse effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint Prosthesis - adverse effects</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Patient Satisfaction</topic><topic>Prosthesis Failure</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Noelle, Stephanie</creatorcontrib><creatorcontrib>Egidy, Claus C.</creatorcontrib><creatorcontrib>Cross, Michael B.</creatorcontrib><creatorcontrib>Gebauer, Matthias</creatorcontrib><creatorcontrib>Klauser, Wolfgang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Noelle, Stephanie</au><au>Egidy, Claus C.</au><au>Cross, Michael B.</au><au>Gebauer, Matthias</au><au>Klauser, Wolfgang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complication rates after total ankle arthroplasty in one hundred consecutive prostheses</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>37</volume><issue>9</issue><spage>1789</spage><epage>1794</epage><pages>1789-1794</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23846957</pmid><doi>10.1007/s00264-013-1971-9</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; PMC (PubMed Central); EZB-FREE-00999 freely available EZB journals; SpringerLink Journals - AutoHoldings |
| subjects | Aged Aged, 80 and over Ankle Joint - surgery Arthritis - surgery Arthroplasty, Replacement, Ankle - adverse effects Female Follow-Up Studies Humans Joint Prosthesis - adverse effects Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Patient Satisfaction Prosthesis Failure Retrospective Studies Risk Factors |
| title | Complication rates after total ankle arthroplasty in one hundred consecutive prostheses |
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