Skip to main content

Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis.

Publication ,  Journal Article
Peri, MI; Whitaker, S; Cole, S; Anastasio, A; Satalich, JR; O'Neill, CN; Patel, TT; Nunley, JA; Easley, ME; Schweitzer, KM
Published in: Foot Ankle Orthop
July 2024

BACKGROUND: This retrospective cohort study compared short-term complication rates following total ankle arthroplasty (TAA), alone or with concomitant procedures. Secondary independent risk factors were also examined as they related to postoperative outcomes. METHODS: The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database was queried using Current Procedural Terminology (CPT) codes to identify patients who underwent TAA (27702) between 2010 to 2021. Patients were divided into cohorts based on the presence or absence of ancillary procedures. Propensity score matching was employed to account for demographic differences, and statistical analyses were performed to compare short-term complication rates between matched cohorts. RESULTS: A total of 2225 patients were identified, with 1432 (64.4%) receiving TAA alone and 793 (35.6%) with ancillary procedure(s). After matching, 793 patients were included in each cohort. The ancillary cohort had longer operative times (P < .001) and length of hospital stay (LOS) (P < 0.001). Rates for extended LOS were significantly higher in the ancillary cohort than in the simple cohort (P = .01). No other complications varied significantly between cohorts, including the incidence of any adverse event (AAE). American Society of Anesthesiologists classification of 4 was found to be an independent risk factor for development of AAE (odds ratio [OR] = 1.091, P = .04). Matched subgroup analysis excluding tendon lengthening as a concomitant procedure found that the ancillary cohort still had longer operative time (P < .001) and LOS (P < .05) than patients undergoing simple TAA. CONCLUSION: Without significant difference in rates of AAE other than extended LOS, the relative safety of ancillary TAA appears similar to that of TAA alone. Such knowledge can help inform surgical decision-making and assuage safety concerns for patients requiring additional corrective procedures at the time of TAA. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

Duke Scholars

Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

July 2024

Volume

9

Issue

3

Start / End Page

24730114241268150

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Peri, M. I., Whitaker, S., Cole, S., Anastasio, A., Satalich, J. R., O’Neill, C. N., … Schweitzer, K. M. (2024). Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis. Foot Ankle Orthop, 9(3), 24730114241268150. https://doi.org/10.1177/24730114241268150
Peri, Maria I., Sarah Whitaker, Sarah Cole, Albert Anastasio, James R. Satalich, Conor N. O’Neill, Tejas T. Patel, James A. Nunley, Mark E. Easley, and Karl M. Schweitzer. “Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis.Foot Ankle Orthop 9, no. 3 (July 2024): 24730114241268150. https://doi.org/10.1177/24730114241268150.
Peri MI, Whitaker S, Cole S, Anastasio A, Satalich JR, O’Neill CN, et al. Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis. Foot Ankle Orthop. 2024 Jul;9(3):24730114241268150.
Peri, Maria I., et al. “Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis.Foot Ankle Orthop, vol. 9, no. 3, July 2024, p. 24730114241268150. Pubmed, doi:10.1177/24730114241268150.
Peri MI, Whitaker S, Cole S, Anastasio A, Satalich JR, O’Neill CN, Patel TT, Nunley JA, Easley ME, Schweitzer KM. Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis. Foot Ankle Orthop. 2024 Jul;9(3):24730114241268150.

Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

July 2024

Volume

9

Issue

3

Start / End Page

24730114241268150

Location

United States