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Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases.

Publication ,  Journal Article
Wu, KA; Anastasio, AT; DeOrio, JK; Nunley, JA; Easley, ME; Adams, SB
Published in: Foot Ankle Spec
September 20, 2024

This study assesses the comorbidities that are associated with failed revision total ankle arthroplasty (TAA) and explores the outcomes following a failed revision TAA. A retrospective analysis was conducted on a cohort of patients who underwent a revision TAA at a single institution from 2008 to 2022. Patients were identified as having revision failure if they required explantation, below-knee amputation (BKA), or a revision of either metal component. Statistical analysis was performed to identify any significant differences and summarize outcomes. The study included a total of 87 patients who underwent revision TAA with 12 patients who subsequently experienced revision failure. The revision TAA failure rate was 13.8%. There were higher rates of former smokers (58.3%; n = 7) and a history of diabetes (33.3%; n = 4) in the failure cohort, although these differences did not reach statistical significance. Limb salvage procedures were achieved in 11 cases (91.7%). Approaches for failed revision TAAs included arthrodesis (n = 5) with 2 isolated ankle arthrodesis (AA) and 3 tibio-talo-calcaneal (TTC) arthrodesis, an additional revision arthroplasty (n = 6), or amputation (n = 1). Ankle arthroplasty retention was successful in 6 cases (50.0%). Our results demonstrate that a second revision approach was chosen in half of the cases, underscoring its viability as a successful intervention according to patient preferences.Level of Evidence: III.

Duke Scholars

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

September 20, 2024

Start / End Page

19386400241274551

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
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Wu, K. A., Anastasio, A. T., DeOrio, J. K., Nunley, J. A., Easley, M. E., & Adams, S. B. (2024). Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases. Foot Ankle Spec, 19386400241274550. https://doi.org/10.1177/19386400241274551
Wu, Kevin A., Albert T. Anastasio, James K. DeOrio, James A. Nunley, Mark E. Easley, and Samuel B. Adams. “Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases.Foot Ankle Spec, September 20, 2024, 19386400241274550. https://doi.org/10.1177/19386400241274551.
Wu KA, Anastasio AT, DeOrio JK, Nunley JA, Easley ME, Adams SB. Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases. Foot Ankle Spec. 2024 Sep 20;19386400241274550.
Wu, Kevin A., et al. “Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases.Foot Ankle Spec, Sept. 2024, p. 19386400241274550. Pubmed, doi:10.1177/19386400241274551.
Wu KA, Anastasio AT, DeOrio JK, Nunley JA, Easley ME, Adams SB. Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases. Foot Ankle Spec. 2024 Sep 20;19386400241274550.
Journal cover image

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

September 20, 2024

Start / End Page

19386400241274551

Location

United States