Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty.

Published

Journal Article

BACKGROUND::Studies examining the clinical outcomes of revision total ankle arthroplasty (TAA) are sparse. Revision TAA surgery has become more common with availability of revision implants and refinement of bone-conserving primary implants. In this study, patient-reported results and clinical outcomes were analyzed for a cohort of patients who underwent both primary and revision TAA at a single high-volume institution. METHODS::We retrospectively reviewed prospectively collected data on 29 patients with failed primary total ankle arthroplasty. Cases of isolated polyethylene exchange, infection, or extra-articular realignment procedures were excluded. Patient-reported outcome (PRO) measures and clinical results were reviewed in this longitudinal study. RESULTS::Fifteen patients (51.7%) underwent revision of just the talar and polyethylene components while 13 patients (44.8%) underwent revision of all components. The most common cause was talar subsidence (51.7%). The average time to revision was 3.9 years with a follow-up of 3.2 years after revision, and 3 (10.3%) revision arthroplasties required further surgery; 2 required conversion to arthrodesis and 1 required second revision TAA. Improvements in PROs were better after primary than revision TAA. CONCLUSIONS::Clinical and patient-reported results of revision ankle arthroplasty after metal component failure improved significantly but never reached the improvements seen after primary ankle arthroplasty. In our series, 10.3% of revision TAAs required a second revision TAA or arthrodesis surgery. LEVELS OF EVIDENCE::Therapeutic Level III, comparative series.

Full Text

Duke Authors

Cited Authors

  • Lachman, JR; Ramos, JA; Adams, SB; Nunley, JA; Easley, ME; DeOrio, JK

Published Date

  • January 2019

Published In

Volume / Issue

  • 40 / 1

Start / End Page

  • 34 - 41

PubMed ID

  • 30160185

Pubmed Central ID

  • 30160185

Electronic International Standard Serial Number (EISSN)

  • 1944-7876

International Standard Serial Number (ISSN)

  • 1071-1007

Digital Object Identifier (DOI)

  • 10.1177/1071100718794956

Language

  • eng