Comparison of Total Ankle Arthroplasty and Ankle Arthrodesis in End-Stage Hemophilic Arthropathy
| Autor: | Moonsu Park, Myung Chul Yoo, Bi O Jeong, Jungtae Ahn, Jeung-Hwan Seo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Ankle arthrodesis Hemophilic arthropathy Arthritis Arthrodesis 030204 cardiovascular system & hematology Hemophilia A Hemophilia B Statistics Nonparametric 03 medical and health sciences Arthroplasty Replacement Ankle Disability Evaluation Young Adult 0302 clinical medicine Arthropathy Hemarthrosis medicine Humans Orthopedics and Sports Medicine In patient Stage (cooking) Range of Motion Articular Pain Measurement Retrospective Studies 030222 orthopedics business.industry Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Total ankle arthroplasty Ankle business Ankle Joint |
| Zdroj: | Footankle international. 41(8) |
| ISSN: | 1944-7876 |
| Popis: | Background: Total ankle arthroplasty (TAA) can result in excellent outcomes in patients with end-stage arthritis, but most patients with end-stage hemophilic ankle arthropathy (ESHAA) still undergo ankle arthrodesis (AA). The purpose of this study was to analyze clinical and radiological results of TAA and AA for ESHAA. Methods: A total of 29 cases (16 TAAs and 13 AAs) of painful ESHAA were included. For clinical outcome evaluation, visual analog scale (VAS) for pain, Foot Function Index (FFI), and range of motion (ROM) were analyzed. Postoperative clinical and radiological complications were also analyzed. The mean duration of follow-up was 6.8 ± 3.0 years. The mean age was 44.1 ± 9.9 years. Results: The VAS for pain was significantly improved from 5.5 ± 2.3 to 0.9 ± 1.2 ( P < .001). The FFI scale was significantly improved from 61.6% ± 15.5% to 16.6% ± 15.4% ( P < .001). In FFI disability and activity subscales, the TAA group exhibited meaningful outcomes relative to those of the AA group ( P = .012 and .036, respectively). The total ROM in the TAA group changed from 30.8 ± 12.6 degrees to 37.3 ± 12.8 degrees at final follow-up ( P = .090). Three cases of osteolysis and 1 case of heterotopic ossification were noted in the TAA group. No cases of nonunion were noted in the AA group. Progressive arthrosis of adjacent joints after AA was observed in 1 case. Conclusion: Both TAA and AA in ESHAA exhibited significant improvement in pain based on VAS and FFI scales. Compared to AA, TAA resulted in superior outcomes in FFI disability and activity subscales, suggesting that TAA may be considered as a surgical option alongside AA for ESHAA. Level of Evidence: Level III, retrospective comparative study. |
| Databáze: | OpenAIRE |
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