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

Publication ,  Journal Article
Lachman, JR; Ramos, JA; Adams, SB; Nunley, JA; Easley, ME; DeOrio, JK
Published in: Foot Ankle Int
January 2019

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.

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Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

January 2019

Volume

40

Issue

1

Start / End Page

34 / 41

Location

United States

Related Subject Headings

  • Treatment Failure
  • Single Photon Emission Computed Tomography Computed Tomography
  • Retrospective Studies
  • Reoperation
  • Radiography
  • Prosthesis Failure
  • Patient Reported Outcome Measures
  • Orthopedics
  • Middle Aged
  • Male
 

Citation

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Lachman, J. R., Ramos, J. A., Adams, S. B., Nunley, J. A., Easley, M. E., & DeOrio, J. K. (2019). Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty. Foot Ankle Int, 40(1), 34–41. https://doi.org/10.1177/1071100718794956
Lachman, James R., Jania A. Ramos, Samuel B. Adams, James A. Nunley, Mark E. Easley, and James K. DeOrio. “Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty.Foot Ankle Int 40, no. 1 (January 2019): 34–41. https://doi.org/10.1177/1071100718794956.
Lachman JR, Ramos JA, Adams SB, Nunley JA, Easley ME, DeOrio JK. Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty. Foot Ankle Int. 2019 Jan;40(1):34–41.
Lachman, James R., et al. “Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty.Foot Ankle Int, vol. 40, no. 1, Jan. 2019, pp. 34–41. Pubmed, doi:10.1177/1071100718794956.
Lachman JR, Ramos JA, Adams SB, Nunley JA, Easley ME, DeOrio JK. Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty. Foot Ankle Int. 2019 Jan;40(1):34–41.
Journal cover image

Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

January 2019

Volume

40

Issue

1

Start / End Page

34 / 41

Location

United States

Related Subject Headings

  • Treatment Failure
  • Single Photon Emission Computed Tomography Computed Tomography
  • Retrospective Studies
  • Reoperation
  • Radiography
  • Prosthesis Failure
  • Patient Reported Outcome Measures
  • Orthopedics
  • Middle Aged
  • Male