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Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures.

Publication ,  Journal Article
Lachman, JR; Green, CL; Adams, SB; Nunley, JA; DeOrio, JK; Easley, ME
Published in: Foot Ankle Spec
October 2021

Background. Ankle arthritis is a major cause of disability. Orthopaedic literature suggests improvement in health-related quality of life (HRQOL) after total ankle arthroplasty (TAA). This has not been compared with improvements observed in successful orthopaedic and nonorthopaedic procedures, including anterior cervical discectomy/fusion (ACDF), total knee arthroplasty (TKA), coronary artery bypass grafting (CABG), and orthotopic liver transplant (OLT). We hypothesize that the effects after TAA are comparable to several successful surgical procedures. Methods. 500 consecutive TAA patients were included and grouped with 2 other large series. Short Form-36 (SF36) were collected at standardized intervals. A systematic literature review identified studies comparing preoperative and postoperative SF36 physical (PCS) and mental component summary (MCS) scores. Using meta-analyses, we pooled the data for each procedure to compare with the TAA group. Results. Patients in all cohorts had preoperative SF36 MCS and PCS scores that were significantly lower than that in the general population. Improvements in HRQOL after TAA were not statistically different from improvements reported in PCS and MCS after ACDF, TKA, and OLT. However, improvement in PCS after TAA was better than that observed after CABG. Conclusions. Disability with ankle arthritis is severe. Disability associated with cervical disc disease, knee arthrosis, coronary artery disease, and liver failure is also severe, with surgical intervention providing major improvements in HRQOL postoperatively. The improvement in HRQOL after TAA did not differ statistically from ACDF, TKA, CABG, and OLT. Our investigation suggests that the HRQOL benefits of TAA meet benchmarks set by some of modern medicine's best.Levels of Evidence: Level III: Systematic review.

Duke Scholars

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

October 2021

Volume

14

Issue

5

Start / End Page

427 / 437

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Quality of Life
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Ankle
  • Ankle
 

Citation

APA
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ICMJE
MLA
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Lachman, J. R., Green, C. L., Adams, S. B., Nunley, J. A., DeOrio, J. K., & Easley, M. E. (2021). Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures. Foot Ankle Spec, 14(5), 427–437. https://doi.org/10.1177/1938640020917782
Lachman, James R., Cynthia L. Green, Samuel B. Adams, James A. Nunley, James K. DeOrio, and Mark E. Easley. “Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures.Foot Ankle Spec 14, no. 5 (October 2021): 427–37. https://doi.org/10.1177/1938640020917782.
Lachman JR, Green CL, Adams SB, Nunley JA, DeOrio JK, Easley ME. Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures. Foot Ankle Spec. 2021 Oct;14(5):427–37.
Lachman, James R., et al. “Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures.Foot Ankle Spec, vol. 14, no. 5, Oct. 2021, pp. 427–37. Pubmed, doi:10.1177/1938640020917782.
Lachman JR, Green CL, Adams SB, Nunley JA, DeOrio JK, Easley ME. Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures. Foot Ankle Spec. 2021 Oct;14(5):427–437.
Journal cover image

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

October 2021

Volume

14

Issue

5

Start / End Page

427 / 437

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Quality of Life
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Ankle
  • Ankle