Effect of age on outcome and revision in total ankle arthroplasty
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Effect of age on outcome and revision in total ankle arthroplasty. / Gaugler, Mario; Krähenbühl, Nicola; Barg, Alexej; Ruiz, Roxa; Horn-Lang, Tamara; Susdorf, Roman; Dutilh, Gilles; Hintermann, Beat.
in: BONE JOINT J, Jahrgang 102-B, Nr. 7, 07.2020, S. 925-932.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Effect of age on outcome and revision in total ankle arthroplasty
AU - Gaugler, Mario
AU - Krähenbühl, Nicola
AU - Barg, Alexej
AU - Ruiz, Roxa
AU - Horn-Lang, Tamara
AU - Susdorf, Roman
AU - Dutilh, Gilles
AU - Hintermann, Beat
PY - 2020/7
Y1 - 2020/7
N2 - AIMS: To assess the effect of age on clinical outcome and revision rates in patients who underwent total ankle arthroplasty (TAA) for end-stage ankle osteoarthritis (OA).METHODS: A consecutive series of 811 ankles (789 patients) that underwent TAA between May 2003 and December 2013 were enrolled. The influence of age on clinical outcome, including the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, and pain according to the visual analogue scale (VAS) was assessed. In addition, the risk for revision surgery that includes soft tissue procedures, periarticular arthrodeses/osteotomies, ankle joint debridement, and/or inlay exchange (defined as minor revision), as well as the risk for revision surgery necessitating the exchange of any of the metallic components or removal of implant followed by ankle/hindfoot fusion (defined as major revision) was calculated.RESULTS: A significant improvement in the AOFAS hindfoot score and pain relief between the preoperative assessment and the last follow-up was evident. Age had a positive effect on pain relief. The risk for a minor or major revision was 28.7 % at the mean follow-up of 5.4 years and 11.0 % at a mean follow-up of 6.9 years respectively. The hazard of revision was not affected by age.CONCLUSION: The clinical outcome, as well as the probability for revision surgery following TAA, is comparable between younger and older patients. The overall revision rate of the Hintegra total ankle is comparable with other three component designs. TAA should no longer be reserved for low demand elderly patients, but should also be recognized as a viable option for active patients of younger age. Cite this article: Bone Joint J 2020;102-B(7):925-932.
AB - AIMS: To assess the effect of age on clinical outcome and revision rates in patients who underwent total ankle arthroplasty (TAA) for end-stage ankle osteoarthritis (OA).METHODS: A consecutive series of 811 ankles (789 patients) that underwent TAA between May 2003 and December 2013 were enrolled. The influence of age on clinical outcome, including the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, and pain according to the visual analogue scale (VAS) was assessed. In addition, the risk for revision surgery that includes soft tissue procedures, periarticular arthrodeses/osteotomies, ankle joint debridement, and/or inlay exchange (defined as minor revision), as well as the risk for revision surgery necessitating the exchange of any of the metallic components or removal of implant followed by ankle/hindfoot fusion (defined as major revision) was calculated.RESULTS: A significant improvement in the AOFAS hindfoot score and pain relief between the preoperative assessment and the last follow-up was evident. Age had a positive effect on pain relief. The risk for a minor or major revision was 28.7 % at the mean follow-up of 5.4 years and 11.0 % at a mean follow-up of 6.9 years respectively. The hazard of revision was not affected by age.CONCLUSION: The clinical outcome, as well as the probability for revision surgery following TAA, is comparable between younger and older patients. The overall revision rate of the Hintegra total ankle is comparable with other three component designs. TAA should no longer be reserved for low demand elderly patients, but should also be recognized as a viable option for active patients of younger age. Cite this article: Bone Joint J 2020;102-B(7):925-932.
KW - Adult
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Arthroplasty, Replacement, Ankle
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Osteoarthritis/surgery
KW - Pain Measurement
KW - Prosthesis Failure
KW - Reoperation
KW - Retrospective Studies
U2 - 10.1302/0301-620X.102B7.BJJ-2019-1263.R2
DO - 10.1302/0301-620X.102B7.BJJ-2019-1263.R2
M3 - SCORING: Journal article
C2 - 32600132
VL - 102-B
SP - 925
EP - 932
JO - BONE JOINT J
JF - BONE JOINT J
SN - 2049-4394
IS - 7
ER -