Top

International Orthopaedics

Published in:

01-09-2013 | Original Paper

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Authors: Stephanie Noelle, Claus C. Egidy, Michael B. Cross, Matthias Gebauer, Wolfgang Klauser

Published in: International Orthopaedics | Issue 9/2013

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.

Anderson T, Montgomery F, Carlsson A (2003) Uncemented STAR total ankle prostheses. Three to eight-year follow-up of fifty-one consecutive ankles. J Bone Joint Surg Am 85-A(7):1321–1329PubMed

Karantana A, Hobson S, Dhar S (2010) The Scandinavian total ankle replacement: survivorship at 5 and 8 years comparable to other series. Clin Orthop Relat Res 468(4):951–957. doi:10.1007/s11999-009-0971-y PubMedCrossRef

Wood PL, Clough TM, Smith R (2008) The present state of ankle arthroplasty. Foot Ankle Surg 14(3):115–119. doi:10.1016/j.fas.2008.05.008 PubMedCrossRef

Schuh R, Hofstaetter J, Krismer M, Bevoni R, Windhager R, Trnka HJ (2012) Total ankle arthroplasty versus ankle arthrodesis. Comparison of sports, recreational activities and functional outcome. Int Orthop 36(6):1207–1214. doi:10.1007/s00264-011-1455-8 PubMedCrossRef

Kwon DG, Chung CY, Park MS, Sung KH, Kim TW, Lee KM (2011) Arthroplasty versus arthrodesis for end-stage ankle arthritis: decision analysis using Markov model. Int Orthop 35(11):1647–1653. doi:10.1007/s00264-011-1336-1 PubMedCrossRef

Easley ME, Adams SB Jr, Hembree WC, DeOrio JK (2011) Results of total ankle arthroplasty. J Bone Joint Surg Am 93(15):1455–1468. doi:10.2106/JBJS.J.00126 PubMedCrossRef

Spirt AA, Assal M, Hansen ST Jr (2004) Complications and failure after total ankle arthroplasty. J Bone Joint Surg Am 86-A(6):1172–1178PubMed

Skytta ET, Koivu H, Eskelinen A, Ikavalko M, Paavolainen P, Remes V (2010) Total ankle replacement: a population-based study of 515 cases from the Finnish Arthroplasty Register. Acta Orthop 81(1):114–118. doi:10.3109/17453671003685459 PubMedCrossRef

Valderrabano V, Hintermann B, Dick W (2004) Scandinavian total ankle replacement: a 3.7-year average followup of 65 patients. Clin Orthop Relat Res 424:47–56PubMedCrossRef

10.

Nunley JA, Caputo AM, Easley ME, Cook C (2012) Intermediate to long-term outcomes of the STAR Total Ankle Replacement: the patient perspective. J Bone Joint Surg Am 94(1):43–48. doi:10.2106/JBJS.J.01613 PubMedCrossRef

11.

Slobogean GP, Younger A, Apostle KL, Marra CA, Wing K, Penner M, Daniels T, Glazebrook M (2010) Preference-based quality of life of end-stage ankle arthritis treated with arthroplasty or arthrodesis. Foot Ankle Int 31(7):563–566. doi:10.3113/FAI.2010.0563 PubMedCrossRef

12.

Thomas R, Daniels TR, Parker K (2006) Gait analysis and functional outcomes following ankle arthrodesis for isolated ankle arthritis. J Bone Joint Surg Am 88(3):526–535. doi:10.2106/JBJS.E.00521 PubMedCrossRef

13.

Krause FG, Windolf M, Bora B, Penner MJ, Wing KJ, Younger AS (2011) Impact of complications in total ankle replacement and ankle arthrodesis analyzed with a validated outcome measurement. J Bone Joint Surg Am 93(9):830–839. doi:10.2106/JBJS.J.00103 PubMedCrossRef

14.

Mazur JM, Schwartz E, Simon SR (1979) Ankle arthrodesis. Long-term follow-up with gait analysis. J Bone Joint Surg Am 61(7):964–975PubMed

15.

Haddad SL, Coetzee JC, Estok R, Fahrbach K, Banel D, Nalysnyk L (2007) Intermediate and long-term outcomes of total ankle arthroplasty and ankle arthrodesis. A systematic review of the literature. J Bone Joint Surg Am 89(9):1899–1905. doi:10.2106/JBJS.F.01149 PubMedCrossRef

16.

Beyaert C, Sirveaux F, Paysant J, Mole D, Andre JM (2004) The effect of tibio-talar arthrodesis on foot kinematics and ground reaction force progression during walking. Gait Posture 20(1):84–91. doi:10.1016/j.gaitpost.2003.07.006 PubMed

17.

Esparragoza L, Vidal C, Vaquero J (2011) Comparative study of the quality of life between arthrodesis and total arthroplasty substitution of the ankle. J Foot Ankle Surg 50(4):383–387. doi:10.1053/j.jfas.2011.03.004 PubMedCrossRef

18.

SooHoo NF, Zingmond DS, Ko CY (2007) Comparison of reoperation rates following ankle arthrodesis and total ankle arthroplasty. J Bone Joint Surg Am 89(10):2143–2149. doi:10.2106/JBJS.F.01611 PubMedCrossRef

19.

Saltzman CL, Kadoko RG, Suh JS (2010) Treatment of isolated ankle osteoarthritis with arthrodesis or the total ankle replacement: a comparison of early outcomes. Clin Orthop Surg 2(1):1–7. doi:10.4055/cios.2010.2.1.1 PubMedCrossRef

20.

Glazebrook MA, Arsenault K, Dunbar M (2009) Evidence-based classification of complications in total ankle arthroplasty. Foot Ankle Int 30(10):945–949. doi:10.3113/FAI.2009.0945 PubMedCrossRef

21.

Haskell A, Mann RA (2004) Perioperative complication rate of total ankle replacement is reduced by surgeon experience. Foot Ankle Int 25(5):283–289PubMed

22.

Whalen JL, Spelsberg SC, Murray P (2010) Wound breakdown after total ankle arthroplasty. Foot Ankle Int 31(4):301–305. doi:10.3113/FAI.2010.0301 PubMedCrossRef

23.

Myerson MS, Mroczek K (2003) Perioperative complications of total ankle arthroplasty. Foot Ankle Int 24(1):17–21PubMed

24.

Seth A (2011) A review of the STAR prosthetic system and the biomechanical considerations in total ankle replacements. Foot Ankle Surg 17(2):64–67. doi:10.1016/j.fas.2011.02.003 PubMedCrossRef

25.

Baker JF, Perera A, Lui DF, Stephens MM (2009) The effect of body mass index on outcomes after total ankle replacement. Ir Med J 102(6):188–190PubMed

26.

Raikin SM, Kane J, Ciminiello ME (2010) Risk factors for incision-healing complications following total ankle arthroplasty. J Bone Joint Surg Am 92(12):2150–2155. doi:10.2106/JBJS.I.00870 PubMedCrossRef

Title: Complication rates after total ankle arthroplasty in one hundred consecutive prostheses
Authors: Stephanie Noelle
Claus C. Egidy
Michael B. Cross
Matthias Gebauer
Wolfgang Klauser
Publication date: 01-09-2013
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 9/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-1971-9

ACC 2024 Congress

Springer Medicine

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Abstract

Introduction

Patients and methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Introduction

Patients and methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 9/2013

A minimally invasive technique for surgical treatment of hallux valgus: simple, effective, rapid, inexpensive (SERI)

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Minimally invasive hallux valgus surgery: a critical review of the evidence

The Weil osteotomy for correction of the severe rheumatoid forefoot

Functional outcome following a locked fracture-dislocation of the calcaneus

The Ponseti method for the treatment of congenital club foot: review of the current literature and treatment recommendations