INTRODUCTION: A functional assessment of 38 patients after ankle arthrodesis for the evaluation of the necessity of surgeons-specialisation was carried out by means of clinical evaluation and gait analysis after an average follow up of 30 months. METHODS: Scores were used to grade ankle function. Gate analysis was examined to determine the effect of arthrodesis on the ankle in relation to the surgeons' experience. Under conditions of normal daily living, we found significant differences in life quality between patients operated upon by experts in orthopaedic foot and ankle surgery (group A) and patients operated by general orthopaedic surgeons (group B). RESULTS: All patients in group A had orthograde stance. Wrong screw positioning and a failed neutral tibio-talar position were the main problems in group B. Due to this, the re-operation rate was 10%. CONCLUSION: Our findings may have implications for surgical training programs and for regionalisation of complex surgical procedures.
INTRODUCTION: A functional assessment of 38 patients after ankle arthrodesis for the evaluation of the necessity of surgeons-specialisation was carried out by means of clinical evaluation and gait analysis after an average follow up of 30 months. METHODS: Scores were used to grade ankle function. Gate analysis was examined to determine the effect of arthrodesis on the ankle in relation to the surgeons' experience. Under conditions of normal daily living, we found significant differences in life quality between patients operated upon by experts in orthopaedic foot and ankle surgery (group A) and patients operated by general orthopaedic surgeons (group B). RESULTS: All patients in group A had orthograde stance. Wrong screw positioning and a failed neutral tibio-talar position were the main problems in group B. Due to this, the re-operation rate was 10%. CONCLUSION: Our findings may have implications for surgical training programs and for regionalisation of complex surgical procedures.
Entities:
Keywords:
Non specialist; Specialist; Upper ankle arthrodesis; Upper ankle osteoarthritis
Authors: N Jane Madeley; Kevin J Wing; Claire Topliss; Murray J Penner; Mark A Glazebrook; Alastair Se Younger Journal: Foot Ankle Int Date: 2012-01 Impact factor: 2.827
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