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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2019

Open Access 01-12-2019 | Osteoarthrosis | Letter to the Editor

Response to review article published titled ‘Total ankle arthroplasty versus ankle arthrodesis - a comparison of outcomes over the last decade’

Authors: Hasan R. Mohammad, Will Debrock, Stephen J. Mellon, Paul Cooke

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

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Abstract

We write in response to Lawton et al.’s (J Orthop Surg Res 12:76, 2017) important systematic review comparing the outcomes of total ankle replacement (TAR) and ankle arthrodesis (AA) after reviewing the existing literature. Traditionally, AA was the gold standard treatment for ankle osteoarthritis but there is renewed interest in TAR given modern design advantages of preserved ankle motion and gait. We outline some pertinent issues for surgeons to consider when interpreting results from review articles comparing treatment types given the limitations of primary studies. These include significant clinical heterogeneity from the indication for surgery, different treatment type subgroups and from poorly defined clinical outcomes.
Literature
1.
Lawton CD, Butler BA, Dekker RG, Prescott A, Kadakia ARJJoos, Research. Total ankle arthroplasty versus ankle arthrodesis—a comparison of outcomes over the last decade. J Orthop Surg Res, 2017;12(1):76.
2.
3.
Gross CE, Lampley A, Green CL, DeOrio JK, Easley M, Adams S, et al. The effect of obesity on functional outcomes and complications in total ankle arthroplasty. Foot Ankle Int. 2016;37(2):137–41.CrossRef
4.
Wood P, Prem H, Sutton CJTJob, volume jsB. Total ankle replacement: medium-term results in 200 Scandinavian total ankle replacements. J Bone Joint Surg Br, 2008;90(5):605-609.
5.
Goldberg AJ, Zaidi R, Thomson C, Doré CJ, Skene SS, Cro S, et al. Total ankle replacement versus arthrodesis (TARVA): protocol for a multicentre randomised controlled trial. BMJ Open. 2016;6(9):e012716.CrossRef
Metadata
Title
Response to review article published titled ‘Total ankle arthroplasty versus ankle arthrodesis - a comparison of outcomes over the last decade’
Authors
Hasan R. Mohammad
Will Debrock
Stephen J. Mellon
Paul Cooke
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-019-1190-1

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