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Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study.

Publication ,  Journal Article
Carender, CN; Glass, NA; Shamrock, AG; Amendola, A; Duchman, KR
Published in: J Foot Ankle Surg
2020

Total ankle arthroplasty (TAA) use has increased during the past 20 years, whereas ankle arthrodesis (AAD) use has remained constant. The purpose of this study was to examine trends in TAA and AAD use in American Board of Orthopedic Surgery Part II candidates while considering the influence of fellowship training status on treatment of end-stage ankle arthritis. The American Board of Orthopedic Surgery Part II database was queried to identify all candidates who performed ≥1 TAA or AAD from examination years 2009 through 2018. Candidates were categorized by examination year and by self-reported fellowship training status. Descriptive statistical methods were used to report procedure volumes. Trends in use of TAA and AAD were examined by using log-modified regression analyses. From 2009through 2018, there was no significant change in TAA or AAD use among all candidates (p = .92, p = .20). Candidates reporting a foot and ankle fellowship trended toward increased use of TAA relative to AAD compared with non-foot and ankle fellowship candidates, but this failed to reach statistical significance (p = .06). The use of arthroscopic AAD increased over time (p < .01) among all candidates. TAA and AAD use did not change over the study period. Volume of TAA and AAD performed by early-career surgeons remains low. The findings in this study should serve as an important reference for orthopedic trainees, early-career surgeons, and orthopedic educators interested in optimizing training curriculum for surgical management of end-stage ankle arthritis.

Duke Scholars

Published In

J Foot Ankle Surg

DOI

EISSN

1542-2224

Publication Date

2020

Volume

59

Issue

2

Start / End Page

274 / 279

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Orthopedics
  • Orthopedics
  • Internship and Residency
  • Humans
  • Follow-Up Studies
  • Education, Medical, Graduate
  • Databases, Factual
  • Arthroplasty, Replacement, Ankle
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Carender, C. N., Glass, N. A., Shamrock, A. G., Amendola, A., & Duchman, K. R. (2020). Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study. J Foot Ankle Surg, 59(2), 274–279. https://doi.org/10.1053/j.jfas.2019.08.014
Carender, Christopher N., Natalie A. Glass, Alan G. Shamrock, Annunziato Amendola, and Kyle R. Duchman. “Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study.J Foot Ankle Surg 59, no. 2 (2020): 274–79. https://doi.org/10.1053/j.jfas.2019.08.014.
Carender CN, Glass NA, Shamrock AG, Amendola A, Duchman KR. Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study. J Foot Ankle Surg. 2020;59(2):274–9.
Carender, Christopher N., et al. “Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study.J Foot Ankle Surg, vol. 59, no. 2, 2020, pp. 274–79. Pubmed, doi:10.1053/j.jfas.2019.08.014.
Carender CN, Glass NA, Shamrock AG, Amendola A, Duchman KR. Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study. J Foot Ankle Surg. 2020;59(2):274–279.
Journal cover image

Published In

J Foot Ankle Surg

DOI

EISSN

1542-2224

Publication Date

2020

Volume

59

Issue

2

Start / End Page

274 / 279

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Orthopedics
  • Orthopedics
  • Internship and Residency
  • Humans
  • Follow-Up Studies
  • Education, Medical, Graduate
  • Databases, Factual
  • Arthroplasty, Replacement, Ankle