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Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up.

Publication ,  Journal Article
Giambelluca, L; Umbel, B; Anastasio, A; Kim, B; DeOrio, J; Easley, M; Nunley, JA
Published in: Foot Ankle Int
April 2024

BACKGROUND: Ankle arthritis differs from arthritis of the hip and knee in that 80% is posttraumatic and thus often occurs in a younger patient population. The literature supporting total ankle arthroplasty (TAA) in younger patients has increased over recent years and has bolstered the argument that in the short term, TAA in younger patients has successful outcomes that are comparable to older, lower-demand patients.The purpose of our study was to evaluate patient-reported outcomes (PROs) and implant survivorship at midterm after primary TAA in patients ≤ 50 years of age at the time of surgery. METHODS: A retrospective chart review was conducted of patients ≤ 50 years of age who underwent primary TAA at a single institution from 2000 to 2017. Patient demographics, outcome measures, and complications were recorded. All patients had a minimum clinical follow-up of 5 years. PRO measures were evaluated at preoperative, 1-year postoperative, and final follow-up visits. Paired t tests were performed to compare individual patient changes in PROs from preoperative. Implant survivorship was evaluated based on need for revision of either the tibial or talar component. The need for additional surgery related to the TAA was also evaluated. RESULTS: A total of 58 patients were included. The average age at the time of the index surgery was 43.3 years (range 22-50 years). All patients had a minimum follow-up of 5 years with a mean follow-up of 8.8 years. A total of 11 patients required additional surgery related to their TAA. Six patients (10.3%) required bone grafting of peri-implant cysts, 3 patients (5.2 %) required gutter debridement, and 1 patient underwent complete revision of metal components. Mean visual analog scale, 36-item Short Form Health Survey, Short Musculoskeletal Function Assessment, and American Orthopaedic Foot & Ankle Society hindfoot scores significantly improved from preoperative to 1-year postoperative and final postoperative follow-up. CONCLUSION: The patients aged ≤50 years treated with a TAA whom we have been able to observe for a minimum of 5 years showed generally maintained improvement in functional scores and thus far have had a relatively low rate of secondary surgeries.Level of Evidence:Level III, retrospective cohort study.

Duke Scholars

Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

April 2024

Volume

45

Issue

4

Start / End Page

357 / 363

Location

United States

Related Subject Headings

  • Orthopedics
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

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Giambelluca, L., Umbel, B., Anastasio, A., Kim, B., DeOrio, J., Easley, M., & Nunley, J. A. (2024). Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up. Foot Ankle Int, 45(4), 357–363. https://doi.org/10.1177/10711007231221995
Giambelluca, Lacey, Benjamin Umbel, Albert Anastasio, Billy Kim, James DeOrio, Mark Easley, and James A. Nunley. “Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up.Foot Ankle Int 45, no. 4 (April 2024): 357–63. https://doi.org/10.1177/10711007231221995.
Giambelluca L, Umbel B, Anastasio A, Kim B, DeOrio J, Easley M, et al. Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up. Foot Ankle Int. 2024 Apr;45(4):357–63.
Giambelluca, Lacey, et al. “Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up.Foot Ankle Int, vol. 45, no. 4, Apr. 2024, pp. 357–63. Pubmed, doi:10.1177/10711007231221995.
Giambelluca L, Umbel B, Anastasio A, Kim B, DeOrio J, Easley M, Nunley JA. Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up. Foot Ankle Int. 2024 Apr;45(4):357–363.
Journal cover image

Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

April 2024

Volume

45

Issue

4

Start / End Page

357 / 363

Location

United States

Related Subject Headings

  • Orthopedics
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences