Research ExplorerPublicationsEffect of age on outcome and revision in total ankle arthrop...

Effect of age on outcome and revision in total ankle arthroplasty

Standard

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, Vol. 102-B, No. 7, 07.2020, p. 925-932.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Gaugler, M, Krähenbühl, N, Barg, A, Ruiz, R, Horn-Lang, T, Susdorf, R, Dutilh, G & Hintermann, B 2020, 'Effect of age on outcome and revision in total ankle arthroplasty', BONE JOINT J, vol. 102-B, no. 7, pp. 925-932. https://doi.org/10.1302/0301-620X.102B7.BJJ-2019-1263.R2

APA

Gaugler, M., Krähenbühl, N., Barg, A., Ruiz, R., Horn-Lang, T., Susdorf, R., Dutilh, G., & Hintermann, B. (2020). Effect of age on outcome and revision in total ankle arthroplasty. BONE JOINT J, 102-B(7), 925-932. https://doi.org/10.1302/0301-620X.102B7.BJJ-2019-1263.R2

Vancouver

Gaugler M, Krähenbühl N, Barg A, Ruiz R, Horn-Lang T, Susdorf R et al. Effect of age on outcome and revision in total ankle arthroplasty. BONE JOINT J. 2020 Jul;102-B(7):925-932. https://doi.org/10.1302/0301-620X.102B7.BJJ-2019-1263.R2

Bibtex

@article{5a1fe577b8b745c79c1a307dfef3af4b,
title = "Effect of age on outcome and revision in total ankle arthroplasty",
abstract = "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.",
keywords = "Adult, Age Factors, Aged, Aged, 80 and over, Arthroplasty, Replacement, Ankle, Female, Humans, Male, Middle Aged, Osteoarthritis/surgery, Pain Measurement, Prosthesis Failure, Reoperation, Retrospective Studies",
author = "Mario Gaugler and Nicola Kr{\"a}henb{\"u}hl and Alexej Barg and Roxa Ruiz and Tamara Horn-Lang and Roman Susdorf and Gilles Dutilh and Beat Hintermann",
year = "2020",
month = jul,
doi = "10.1302/0301-620X.102B7.BJJ-2019-1263.R2",
language = "English",
volume = "102-B",
pages = "925--932",
journal = "BONE JOINT J",
issn = "2049-4394",
publisher = "British Editorial Society of Bone and Joint Surgery",
number = "7",

}

RIS

TY - JOUR

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 -