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The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes.

Publication ,  Journal Article
Queen, RM; Grier, AJ; Butler, RJ; Nunley, JA; Easley, ME; Adams, SB; DeOrio, JK
Published in: Foot Ankle Int
September 2014

BACKGROUND: Concomitant procedures are being performed with total ankle replacement (TAR) to improve alignment, function, and mobility. The purpose of this study was to examine the differences in outcomes between patients who had a concomitant triceps surae lengthening (gastrocnemius recession [GSR] or triple hemisection [TAL]) versus a group that underwent TAR alone preoperatively and 1 year after TAR. METHODS: For this prospective, nonrandomized study, 229 patients (37 GSR, 22 TAL, and 170 TAR alone) were examined. Patient-reported outcomes, physical performance, and lower extremity gait mechanics were completed preoperatively and 1 year postoperatively. A series of repeated measures ANOVAs were used to determine significant differences (P < .05), and Tukey's post hoc testing was used to follow any significant ANOVA results. RESULTS: No difference existed in BMI, age, gender, or dorsiflexion (DF) angle at heel strike between the triceps surae lengthening groups or between preoperative and 1 year following TAR. Walking speed, the physical performance measures, the AOFAS Hindfoot Score, SF-36, peak plantar flexion angle, and the peak plantar flexion moment were significantly improved (P < .001) postoperatively with no differences between the triceps surae lengthening groups. The peak DF angle (P = .006) and the ankle range of motion (P = .014) demonstrated a greater improvement from preoperative to 1 year postoperatively in the triceps surae lengthening groups in comparison to the TAR alone group. CONCLUSION: Significant improvements existed between preoperative and 1 year postoperatively for most of the variables of interest independent of the triceps surae lengthening group. This study demonstrated that the use of a concomitant triceps surae lengthening procedure (GSR or TAL) resulted in equivalent outcomes when compared with a group undergoing TAR alone. LEVEL OF EVIDENCE: Level II, prospective comparative study.

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Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

September 2014

Volume

35

Issue

9

Start / End Page

863 / 870

Location

United States

Related Subject Headings

  • Visual Analog Scale
  • Range of Motion, Articular
  • Prospective Studies
  • Patient Outcome Assessment
  • Osteoarthritis
  • Orthopedics
  • Muscle, Skeletal
  • Middle Aged
  • Humans
  • Gait
 

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Queen, R. M., Grier, A. J., Butler, R. J., Nunley, J. A., Easley, M. E., Adams, S. B., & DeOrio, J. K. (2014). The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes. Foot Ankle Int, 35(9), 863–870. https://doi.org/10.1177/1071100714539662
Queen, Robin M., A Jordan Grier, Robert J. Butler, James A. Nunley, Mark E. Easley, Samuel B. Adams, and James K. DeOrio. “The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes.Foot Ankle Int 35, no. 9 (September 2014): 863–70. https://doi.org/10.1177/1071100714539662.
Queen RM, Grier AJ, Butler RJ, Nunley JA, Easley ME, Adams SB, et al. The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes. Foot Ankle Int. 2014 Sep;35(9):863–70.
Queen, Robin M., et al. “The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes.Foot Ankle Int, vol. 35, no. 9, Sept. 2014, pp. 863–70. Pubmed, doi:10.1177/1071100714539662.
Queen RM, Grier AJ, Butler RJ, Nunley JA, Easley ME, Adams SB, DeOrio JK. The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes. Foot Ankle Int. 2014 Sep;35(9):863–870.
Journal cover image

Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

September 2014

Volume

35

Issue

9

Start / End Page

863 / 870

Location

United States

Related Subject Headings

  • Visual Analog Scale
  • Range of Motion, Articular
  • Prospective Studies
  • Patient Outcome Assessment
  • Osteoarthritis
  • Orthopedics
  • Muscle, Skeletal
  • Middle Aged
  • Humans
  • Gait