Safety and efficacy of total ankle arthroplasty versus ankle arthrodesis for ankle osteoarthritis: A systematic review and meta-analysis.

Autor: Almutairi TA; Faculty of Medicine, University of Jordan, Amman, Jordan., Ragab KM; Faculty of Medicine, Minia University, Minia, Egypt., Elsayed SM; Faculty of Medicine, October 6 University, Giza, Egypt., Elsnhory AB; Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Elhady MM; Faculty of Medicine, Benha University, Qalubiya, Egypt., Gamal MH; Faculty of pharmacy, Tanta University, Elgharbia, Egypt., Fathallah AH; Faculty of Medicine, Minia University, Minia, Egypt. Electronic address: dr.ahmedhashem12@gmail.com.
Jazyk: angličtina
Zdroj: Foot (Edinburgh, Scotland) [Foot (Edinb)] 2023 May; Vol. 55, pp. 101980. Date of Electronic Publication: 2023 Feb 17.
DOI: 10.1016/j.foot.2023.101980
Abstrakt: Osteoarthritis is the most common joint disease-causing pain and disability, and its management keeps creating a debate. So, we aimed to compare the safety and efficacy of total ankle arthroplasty and ankle arthrodesis for ankle osteoarthritis. We searched PubMed, Cochrane, Scopus, and Web of Science till August 2021. The outcomes were pooled as Mean difference (MD) or Risk Ratio (RR), and 95% confidence interval. We included 36 studies. The results showed a significantly lower risk of infections in total ankle arthroplasty (TAA) than ankle arthrodesis (AA) (RR= 0.63, 95% CI [0.57, 0.70], p < 0.00001), amputations (RR= 0.40, 95% CI [0.22, 0.72], p = 0.002), postoperative non-union (RR= 0.11, 95% CI [0.03, 0.34], p = 0.0002), and a significant increase of overall range of motion in TAA than AA. Our results preferred total ankle arthroplasty over ankle arthrodesis in terms of lowering the rates of infections, amputations, and postoperative non-union, with better change in the overall range of motion.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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