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Association of Timing of Hindfoot Arthrodesis and Early Reoperation Rates for Total Ankle Arthroplasty.
Ramamurti, Pradip; Schwartz, Joshua M; Novicoff, Wendy M; Park, Joseph S; Cooper, Minton T.
Afiliación
  • Ramamurti P; Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
  • Schwartz JM; Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
  • Novicoff WM; Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
  • Park JS; Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
  • Cooper MT; Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
Foot Ankle Int ; 45(6): 567-573, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38712752
ABSTRACT

BACKGROUND:

Prior literature has demonstrated that ipsilateral hindfoot arthrodesis may increase the risk for reoperation after total ankle arthroplasty (TAA) and that simultaneous hindfoot arthrodesis with TAA could result in short-term clinical and radiologic improvements. The purpose of this study is to compare the reoperation rates after TAA with prior hindfoot arthrodesis vs simultaneous arthrodesis and TAA.

METHODS:

Patients who underwent primary TAA were identified in the PearlDiver database. Patients were sorted into 2 study cohorts hindfoot arthrodesis prior to TAA and simultaneous arthrodesis and TAA. Propensity matched control cohorts were identified for each study group. Multivariate analysis was conducted to account for any confounding variables and covariates when identifying differences in complications between cohorts.

RESULTS:

297 patients underwent TAA with prior hindfoot arthrodesis and 174 underwent TAA and hindfoot arthrodesis concurrently. The incidence of reoperation (13.8% vs 5.2%, P < .001) and infection (12.6% vs 5.9%, P = .011) for the simultaneous cohort was higher when compared to the matched control cohort. In contrast, there was no statistically significant difference when comparing the prior arthrodesis cohort to the matched control cohort in reoperation rates (5.1% vs 4.7%, P = .787) or infection rates (4.4% vs 4.8%, P = .734). Those undergoing simultaneous procedures had increased incidences of reoperation, wound complications, infection, and emergency department visits (P < .0167) when compared to the TAA with prior arthrodesis cohort.

CONCLUSION:

Patients undergoing TAA and hindfoot arthrodesis concurrently were found to have higher rates of reoperation and infection when compared to the matched control cohort . In contrast, there was no difference in these rates in patients undergoing TAA with prior hindfoot arthrodesis compared with their matched control cohort. Patients undergoing simultaneous procedures had increased rates of reoperations, wound complications, infection, and emergency department visits compared to the TAA with prior arthrodesis cohort.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artrodesis / Reoperación / Artroplastia de Reemplazo de Tobillo Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Int Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artrodesis / Reoperación / Artroplastia de Reemplazo de Tobillo Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Int Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos