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International Orthopaedics
Published in: International Orthopaedics 8/2014

01-08-2014 | Original Paper

Are our expectations bigger than the results we achieve? A comparative study analysing potential advantages of ankle arthroplasty over arthrodesis

Authors: Matthias Braito, Dietmar Dammerer, Gerhard Kaufmann, Stefan Fischler, James Carollo, Andrea Reinthaler, Dennis Huber, Rainer Biedermann

Published in: International Orthopaedics | Issue 8/2014

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Abstract

Purpose

Prior studies have reported improved gait performance and kinematics after total ankle arthroplasty (TAR) compared to ankle arthrodesis (AAD). Given these findings, AAD has been primarily considered as a salvage procedure that may lead to adjacent joint degeneration.

Methods

A total of 101 TAR and 40 screw arthrodeses were enrolled in a retrospective study with a prospectively designed follow-up examination that included gait analysis and outcome assessment with the AOFAS hindfoot score and FAOS questionnaire.

Results

Significant asymmetry in gait and reduced range of motion compared to normal remained after both procedures. Subjective outcome improved after both procedures, and pain was significantly better after TAR. Limited functional gains after TAR and joint degeneration to the same degree after both procedures was seen in the mid-term. Hindfoot fusion seemed to have a greater impact on postoperative function than ankle arthrodesis.

Conclusion

Considering only minor functional gains of TAR compared to AAD the implantation of current TAR designs in large patient series may be questioned.
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Metadata
Title
Are our expectations bigger than the results we achieve? A comparative study analysing potential advantages of ankle arthroplasty over arthrodesis
Authors
Matthias Braito
Dietmar Dammerer
Gerhard Kaufmann
Stefan Fischler
James Carollo
Andrea Reinthaler
Dennis Huber
Rainer Biedermann
Publication date
01-08-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 8/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2428-5

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