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Timeline for maximal subjective outcome improvement following total ankle arthroplasty.

Publication ,  Journal Article
Agarwalla, A; Gowd, AK; Cody, EA; Johnson, PK; Yao, K; Nunley, JA; Amin, NH; Liu, JN
Published in: Foot Ankle Surg
April 2021

BACKGROUND: Maximal medical improvement (MMI) establishes the timepoint when patients no longer experience clinically significant improvements following surgery. The purpose of this investigation is to establish when patients achieve MMI following total ankle arthroplasty (TAA) through the use of patient reported outcome measures (PROMs). METHODS: A systematic review to identify studies on TAA which reported consecutive PROMs for two years postoperatively was performed. Pooled analysis was done at 6 months, 12 months, and 24 months. Clinically significant improvement was defined as improvement between time intervals exceeding the minimal clinically important difference. RESULTS: Twelve studies and 1514 patients met inclusion criteria. Clinically significant improvement was seen up to 6 months postoperatively in both the American Orthopaedic Foot and Ankle Society Ankle Hindfoot Score and Visual Analog Scale scoring systems. The Short Musculoskeletal Function Assessment Dysfunction and Bother subsections showed maximal clinically significant improvement by 1 year postoperatively. CONCLUSION: Following TAA, MMI is seen by one year postoperatively. Physicians may allocate the majority of resources within the first year when most of the improvement is perceived. This data may help inform preoperative counseling as it establishes a timeline for MMI. LEVEL OF EVIDENCE: IV.

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Published In

Foot Ankle Surg

DOI

EISSN

1460-9584

Publication Date

April 2021

Volume

27

Issue

3

Start / End Page

305 / 310

Location

France

Related Subject Headings

  • Visual Analog Scale
  • Treatment Outcome
  • Time Factors
  • Range of Motion, Articular
  • Postoperative Period
  • Patient Reported Outcome Measures
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
 

Citation

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Chicago
ICMJE
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Agarwalla, A., Gowd, A. K., Cody, E. A., Johnson, P. K., Yao, K., Nunley, J. A., … Liu, J. N. (2021). Timeline for maximal subjective outcome improvement following total ankle arthroplasty. Foot Ankle Surg, 27(3), 305–310. https://doi.org/10.1016/j.fas.2020.05.012
Agarwalla, Avinesh, Anirudh K. Gowd, Elizabeth A. Cody, Phillip K. Johnson, Kaisen Yao, James A. Nunley, Nirav H. Amin, and Joseph N. Liu. “Timeline for maximal subjective outcome improvement following total ankle arthroplasty.Foot Ankle Surg 27, no. 3 (April 2021): 305–10. https://doi.org/10.1016/j.fas.2020.05.012.
Agarwalla A, Gowd AK, Cody EA, Johnson PK, Yao K, Nunley JA, et al. Timeline for maximal subjective outcome improvement following total ankle arthroplasty. Foot Ankle Surg. 2021 Apr;27(3):305–10.
Agarwalla, Avinesh, et al. “Timeline for maximal subjective outcome improvement following total ankle arthroplasty.Foot Ankle Surg, vol. 27, no. 3, Apr. 2021, pp. 305–10. Pubmed, doi:10.1016/j.fas.2020.05.012.
Agarwalla A, Gowd AK, Cody EA, Johnson PK, Yao K, Nunley JA, Amin NH, Liu JN. Timeline for maximal subjective outcome improvement following total ankle arthroplasty. Foot Ankle Surg. 2021 Apr;27(3):305–310.
Journal cover image

Published In

Foot Ankle Surg

DOI

EISSN

1460-9584

Publication Date

April 2021

Volume

27

Issue

3

Start / End Page

305 / 310

Location

France

Related Subject Headings

  • Visual Analog Scale
  • Treatment Outcome
  • Time Factors
  • Range of Motion, Articular
  • Postoperative Period
  • Patient Reported Outcome Measures
  • Orthopedics
  • Middle Aged
  • Male
  • Humans