Complications after total ankle arthroplasty- A systematic review.

Autor: Vale C; Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal. Electronic address: titafvale@gmail.com., Almeida JF; Orthopedic Surgery Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal., Pereira B; Clínica Espregueira - FIFA Medical Centre of Excellence, Porto, Portugal; Hospital Santa Maria Maior, EPE, Barcelos, Portugal; Hospital Lusíadas Braga, Braga, Portugal; Dom Henrique Research Centre, Porto, Portugal; School of Medicine, University of Minho, Braga, Portugal; Human anatomy Unit, School of Medicine, University of Barcelona, Foot and Ankle Unit, Barcelona, Spain; INSIDE, Investigation in Orthopedics, Braga, Portugal., Andrade R; Clínica Espregueira - FIFA Medical Centre of Excellence, Porto, Portugal; Dom Henrique Research Centre, Porto, Portugal; Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal., Espregueira-Mendes J; Clínica Espregueira - FIFA Medical Centre of Excellence, Porto, Portugal; Dom Henrique Research Centre, Porto, Portugal; School of Medicine, University of Minho, Braga, Portugal; ICVS/3B's-PT Government Associate Laboratoryō, Braga, Guimarães, Portugal; 3B's Research Group - Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Barco, Guimarães, Portugal., Gomes TM; Human anatomy Unit, School of Medicine, University of Barcelona, Foot and Ankle Unit, Barcelona, Spain; Clinica del Remei, Barcelona, Spain., Oliva XM; Human anatomy Unit, School of Medicine, University of Barcelona, Foot and Ankle Unit, Barcelona, Spain; Clinica del Remei, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2023 Jan; Vol. 29 (1), pp. 32-38. Date of Electronic Publication: 2022 Sep 30.
DOI: 10.1016/j.fas.2022.09.010
Abstrakt: Background: Total ankle arthroplasty was developed as an alternative option to ankle arthrodesis in patients with end-stage ankle osteoarthritis. Multiple trials have assessed the outcomes of ankle arthroplasty, but complication risk or relative effectiveness is not systematized in literature.
Aim: Review complications of new designs of total ankle arthroplasty and the relationship between their severity and failure rates.
Methods: We reviewed complications and revision rates of prospective studies of primary total ankle arthroplasty that included more than 50 patients and with minimum 2 years follow-up.
Results: We included 22 studies (4412 ankles, median age of 61.9 years) with an adjusted mean follow-up time of 66.6 ± 40.9 months. The adjusted mean complication rate was 23.7 % (2.4-52 %), mostly high-grade complications (35.6 %). We found a statistically significant positive correlation between high- and medium-grade complications and revision rates.
Conclusion: Patient selection is crucial to successfully treat end-stage ankle osteoarthritis. Further multicenter clinical trials with consistent reporting of complications are warranted.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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