James Jastifer1, Michael J Coughlin2, Christopher Hirose3. 1. Borgess Orthopedics, Kalamazoo, MI, USA jrjast@gmail.com. 2. St. Alphonsus Medical Group, Boise, ID, USA St. Alphonsus Coughlin Clinic, Boise, ID, USA. 3. St. Alphonsus Coughlin Clinic, Boise, ID, USA.
Abstract
BACKGROUND: Both total ankle arthroplasty (TAA) and ankle arthrodesis are options for the treatment of ankle arthritis and have been shown to improve gait postoperatively. Little is known about the postoperative performance of these patients on uneven surfaces. METHODS: Between 2010 and 2013, 77 consecutive patients were enrolled in a prospective study and completed 12 months of follow-up. Patients received either a TAA (61 patients) or an ankle arthrodesis (16 patients). Preoperatively, at 6 months and 12 months postoperatively, patients were evaluated clinically and functionally on stairs, an inclined ramp, and an uneven surface. Patients graded their function on these surfaces using a visual analog scale (VAS) in addition to standard clinical grading scales. RESULTS: There was no statistically significant difference between the patient groups preoperatively (all P > .05). Both TAA and ankle arthrodesis groups had high patient satisfaction, 3.5 and 3.4 out of 4.0, respectively. Both groups had improvement in Buechel-Pappas scores, VAS pain scores, AOFAS Ankle Hindfoot scores, and functional scores (all P values < .05). TAA patients had a significantly better outcome than the arthrodesis patients in the Buechel-Pappas scale (P = .036), AOFAS Ankle Hindfoot score (P = .03), ankle dorsiflexion (P < .001), ankle plantarflexion (P < .001), walking upstairs (P = .013), walking downstairs (P = .012), and walking uphill (P = .016). CONCLUSIONS: Patients with TAA and ankle arthrodesis had improved performance walking on uneven surfaces at 12 months of follow-up compared to preoperatively. TAA patients had higher scores than the ankle arthrodesis patients walking upstairs, downstairs, and uphill. LEVEL OF EVIDENCE: Level II, prospective cohort study.
BACKGROUND: Both total ankle arthroplasty (TAA) and ankle arthrodesis are options for the treatment of ankle arthritis and have been shown to improve gait postoperatively. Little is known about the postoperative performance of these patients on uneven surfaces. METHODS: Between 2010 and 2013, 77 consecutive patients were enrolled in a prospective study and completed 12 months of follow-up. Patients received either a TAA (61 patients) or an ankle arthrodesis (16 patients). Preoperatively, at 6 months and 12 months postoperatively, patients were evaluated clinically and functionally on stairs, an inclined ramp, and an uneven surface. Patients graded their function on these surfaces using a visual analog scale (VAS) in addition to standard clinical grading scales. RESULTS: There was no statistically significant difference between the patient groups preoperatively (all P > .05). Both TAA and ankle arthrodesis groups had high patient satisfaction, 3.5 and 3.4 out of 4.0, respectively. Both groups had improvement in Buechel-Pappas scores, VAS pain scores, AOFAS Ankle Hindfoot scores, and functional scores (all P values < .05). TAA patients had a significantly better outcome than the arthrodesis patients in the Buechel-Pappas scale (P = .036), AOFAS Ankle Hindfoot score (P = .03), ankle dorsiflexion (P < .001), ankle plantarflexion (P < .001), walking upstairs (P = .013), walking downstairs (P = .012), and walking uphill (P = .016). CONCLUSIONS:Patients with TAA and ankle arthrodesis had improved performance walking on uneven surfaces at 12 months of follow-up compared to preoperatively. TAA patients had higher scores than the ankle arthrodesispatients walking upstairs, downstairs, and uphill. LEVEL OF EVIDENCE: Level II, prospective cohort study.
Authors: Hyun Jung Kim; Dong Hun Suh; Jae Hyuk Yang; Jin Woo Lee; Hak Jun Kim; Hyeong Sik Ahn; Seung Woo Han; Gi Won Choi Journal: Int Orthop Date: 2016-10-07 Impact factor: 3.075
Authors: Andrew R Roney; Andrew P Kraszewski; Constantine A Demetracopoulos; Howard J Hillstrom; Jonathan T Deland; Cesar de Cesar Netto; Guilherme H Saito; Jonathan Day; Scott J Ellis Journal: HSS J Date: 2021-04-14
Authors: Cort D Lawton; Bennet A Butler; Robert G Dekker; Adam Prescott; Anish R Kadakia Journal: J Orthop Surg Res Date: 2017-05-18 Impact factor: 2.359
Authors: Jakub Wąsik; Tomasz Stołtny; Jarosław Pasek; Karol Szyluk; Michał Pyda; Alina Ostałowska; Sławomir Kasperczyk; Bogdan Koczy Journal: Med Sci Monit Date: 2019-09-10