Early Patient Satisfaction Results on a Modern Generation Fixed-Bearing Total Ankle Arthroplasty

被引:26
作者
Oliver, Shelley M. [1 ]
Coetzee, J. Chris [1 ,2 ]
Nilsson, Lawrence J. [2 ]
Samuelson, Kathryn M. [2 ]
Stone, Rebecca M. [2 ]
Fritz, Jacquelyn E. [2 ]
Giveans, M. Russell [1 ,2 ]
机构
[1] Fairview MOSMI Orthoped Fellowship Program, Edina, MN USA
[2] Minnesota Orthoped Sports Med Inst MOSMI Twin Cit, 4010 West 65th St, Edina, MN 55435 USA
关键词
total ankle arthroplasty; total ankle replacement; ankle arthritis; Salto Talaris; LONG-TERM OUTCOMES; VETERANS-HEALTH; INTERMEDIATE; ARTHRODESIS; RELIABILITY; REPLACEMENT; VALIDITY; SCALES;
D O I
10.1177/1071100716648736
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: This study presents patient-reported outcomes and patient satisfaction data for the largest series of US patients undergoing modern fixed-bearing total ankle arthroplasty (TAA). Methods: We retrospectively reviewed the records of 300 consecutive patients who underwent 321 modern, fixed-bearing TAAs at a single institution. Veterans Rand 12-Item Health Survey (VR-12), Ankle Osteoarthritis Scale (AOS), and the American Orthopaedic Foot & Ankle Society (AOFAS) Hindfoot score were collected preoperatively and at subsequent follow-up appointments. A patient satisfaction survey was also distributed to each patient postoperatively. Of the 321 TAAs, 245 (232 patients) had a minimum of 2-year follow-up and a complete data set. Furthermore, 192 patients underwent concomitant procedures. The average follow-up was 38.9 months (24-84.5). Eight patients have been lost to follow-up (7 deceased and 1 refused further follow-up). Results: The mean AOFAS score preoperatively was 41.1 and at latest follow-up was 84.6 (P < .01). The mean VR-12 score was 29.7 (Physical) and 54.1 (Mental) preoperatively and 42.7 (Physical) and 55.7 (Mental) at latest follow-up (P < .01 and P > .05, respectively). AOS pain and disability scores improved significantly after TAA (P < .01). The patient satisfaction survey indicated that 84% experienced very good to excellent pain relief, 78% reported improved ability to perform daily tasks, and 54% indicated improvement in their ability to perform heavy work or recreational activities. In addition, 94% would probably or definitely have the procedure on the contralateral ankle. Two patients underwent revision TAA at a minimum of 36 months; 8 patients failed the primary TAA and were converted to ankle fusions at a mean of 20.1 months (6.1-46.1). Conclusion: Early results of a large series of a modern TAA system demonstrate improvement in patient satisfaction, quality of life, activity, and pain for patients with end-stage ankle arthritis. Early revision was due to infection or loosening of the tibial component. Level of Evidence: Level IV, case series.
引用
收藏
页码:938 / 943
页数:6
相关论文
共 21 条
  • [11] Kazis Lewis E, 2004, J Ambul Care Manage, V27, P70
  • [12] CLINICAL RATING SYSTEMS FOR THE ANKLE-HINDFOOT, MIDFOOT, HALLUX, AND LESSER TOES
    KITAOKA, HB
    ALEXANDER, IJ
    ADELAAR, RS
    NUNLEY, JA
    MYERSON, MS
    SANDERS, M
    [J]. FOOT & ANKLE INTERNATIONAL, 1994, 15 (07) : 349 - 353
  • [13] Responsiveness and Validity of the SF-36, Ankle Osteoarthritis Scale, AOFAS Ankle Hindfoot Score, and Foot Function Index in End Stage Ankle Arthritis
    Madeley, N. Jane
    Wing, Kevin J.
    Topliss, Claire
    Penner, Murray J.
    Glazebrook, Mark A.
    Younger, Alastair S. E.
    [J]. FOOT & ANKLE INTERNATIONAL, 2012, 33 (01) : 57 - 63
  • [14] Which Are the Most Frequently Used Outcome Instruments in Studies on Total Ankle Arthroplasty?
    Naal, Florian D.
    Impellizzeri, Franco M.
    Rippstein, Pascal F.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (03) : 815 - 826
  • [15] Intermediate to Long-Term Outcomes of the STAR Total Ankle Replacement: The Patient Perspective
    Nunley, James A.
    Caputo, Adam M.
    Easley, Mark E.
    Cook, Chad
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (01) : 43 - 48
  • [16] Reliability and Validity of 6 Measures of Pain, Function, and Disability for Ankle Arthroplasty and Arthrodesis
    Pinsker, Ellie
    Inrig, Taucha
    Daniels, Timothy R.
    Warmington, Kelly
    Beaton, Dorcas E.
    [J]. FOOT & ANKLE INTERNATIONAL, 2015, 36 (06) : 617 - 625
  • [17] Ramaskandhan JR, 2014, J BONE JOINT SURG AM, V96, pe53, DOI DOI 10.2106/JBJS.L.00536
  • [18] Early Prospective Clinical Results of a Modern Fixed-Bearing Total Ankle Arthroplasty
    Schweitzer, Karl M., Jr.
    Adams, Samuel B., Jr.
    Viens, Nicholas A.
    Queen, Robin M.
    Easley, Mark E.
    DeOrio, James K.
    Nunley, James A., II
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (11) : 1002 - 1011
  • [19] Complications and failure after total ankle arthroplasty
    Spirt, AA
    Assal, M
    Hansen, ST
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (06) : 1172 - 1178
  • [20] A 12-item short-form health survey - Construction of scales and preliminary tests of reliability and validity
    Ware, JE
    Kosinski, M
    Keller, SD
    [J]. MEDICAL CARE, 1996, 34 (03) : 220 - 233