Comparison of Total Ankle Arthroplasty Outcomes between Patients Younger and Older than 55 years
Article Sidebar
Published:
Nov 18, 2020
Keywords:
Ankle, arthroplasty, age, ankle arthritis
Main Article Content
Abstract
Objective: To compare the clinical and radiographic postoperative outcomes in two groups of patients: ≤55 and >55-year patients undergoing a third-generation total ankle arthroplasty (TAA). Materials and Methods: Two groups of patients were retrospectively studied: ≤55 (n=13) and >55-year patients (n=19) undergoing a third-generation TAA. Group ≤55 average age was 42.8 (SD, 6.4) and Group >55 average age was 65.7 (SD, 8.8). Results: The average follow-up was 36 months (IQR, 25-60). The main etiology was post-traumatic conditions in both groups. The mean score of the AOFAS scale one year after surgery was 76.69 (IQR, 58-89)in the group ≤55 and 85.22 (IQR, 67-100) in the group >55. There were no statistically significant differences between the two groups in the α, β, and γ angles measured on weight-bearing radiographs at 2-month and 2-year postoperative controls. Conclusions: Our study shows clinical and radiographic short-term outcomes in younger patients are similar to those in older patients. Longer-term follow-up is warranted to determine if the revision risk is greater in young patients, due to failures related to prosthesis wear.
Level of Evidence: III
Level of Evidence: III
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Villena, D. S., Sotelano, P., Conti, L., Parise, A. C., Santini Araujo, G., Carlucci, S., Dozo, C., & Carrasco, M. (2020). Comparison of Total Ankle Arthroplasty Outcomes between Patients Younger and Older than 55 years. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(4), 305-316. https://doi.org/10.15417/issn.1852-7434.2020.85.4.1001
Issue
Section
Clinical Research
Copyright (c) 2020 Revista de la Asociación Argentina de Ortopedia y Traumatología
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Haddad S, Coetzee J, Estok R, Fahrbach K, Banel D, Nalysnyk L. Intermediate and long-term outcomes of total
ankle arthroplasty and ankle arthrodesis. A systematic review of the literature. J Bone Joint Surg Am 2007;90:499-505. https://doi.org/10.2106/jbjs.f.01149
2. Hintermann B, Valderrabano V. Total ankle replacement. Foot Ankle Clin 2003;8:357-405.
https://doi.org/10.1016/s1083-7515(03)00015-9
3. Easley ME, Adams SM, Hembree C, DeOrio JK. Results of total ankle arthroplasty. J Bone Joint Surg Am 2011;93(15):1455-68. https://doi.org/10.2106/JBJS.J.00126
4. Bai L, Lee K, Soon E, Yoon T, Seon J. Total ankle arthroplasty outcome comparison for post-traumatic and primary osteoarthritis. Foot Ankle Int 2010;31:1048-56. https://doi.org/10.3113/FAI.2010.1048
5. Raikin S, Rasouli M, Espandar R, Maltenfort M. Trends in treatment of advanced ankle arthropathy by total ankle replacement or ankle fusion. Foot Ankle Int 2014;35(3):216-24. https://doi.org/10.1177/1071100713517101
6. Kofoed H, Lundberg-Jensen A. Ankle arthroplasty in patients younger and older than 50 years: a prospective series with long-term follow-up. Foot Ankle Int 1999;20:501-6. https://doi.org/10.1177/107110079902000807
7. Stauffer R, Segal N. Total ankle arthroplasty: four year experience. Clin Orthop 1981;160:217-21.
https://doi.org/10.1097/00003086-198110000-00032
8. Bolton-Maggs B, Sudlow R, Freeman M. Total ankle arthroplasty: A long-term review of the London Hospital
experience. J Bone Joint Surg Br 1985;67:785-90. https://doi.org/10.1302/0301-620x.67b5.4055882
9. Kitaoka H, Patzer G. Clinical results of the Mayo total ankle arthroplasty. J Bone Joint Surg Am 1996;78:1658-64.
https://doi.org/10.2106/00004623-199611000-00004
10. Buechel F, Pappas M. New Jersey low contact stress total ankle replacement: Biomechanical rationale and review of 23 cementless cases. Foot Ankle 1980;8:279-90. https://doi.org/10.1177/107110078800800603
11. Lee KB, Cho SG, Hur CI, Yoon TR. Perioperative complications of Hintegra total ankle replacement: our initial 50 cases. Foot Ankle Int 2008;29(10):978-84. https://doi.org/10.3113/fai.2008.0978
12. Hintermann B, Valderrabano V, Dereymaeker G, Dick W. The HINTEGRA Ankle: Rationale and short-term results of 122 consecutive ankles. Clin Orthop Relat Res 2004;424:57-68. https://doi.org/10.1097/01.blo.0000132462.72843.e8
13. Barg A, Knupp M, Henninger HB, Zwicky L, Hintermann B. Total ankle replacement using HINTEGRA, an
unconstrained, three-component system. Foot Ankle Clin 2012;17(4):607-35. https://doi.org/10.1016/j.fcl.2012.08.006
14. Kitaoka HB, Alexander IJ, Adalaar RS, Nunley J, Myerson M, Sanders M. Clinical rating systems for the ankle,
hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int 1994;15:349-53.
https://doi.org/10.1177/107110079701800315
15. Henricson A, Skoog A, Carlsson A. The Swedish Ankle Arthroplasty Register: an analysis of 531 arthroplasties
between 1993 and 2005. Acta Orthop 2007;78(5):569-74. https://doi.org/10.1080/17453670710014248
16. Spirt A, Assal M, Sigvard T, Hansen J. Complication and failure after total ankle arthroplasty. J Bone Joint Surg Am 2004;86(6):1172-8. https://doi.org/10.2106/00004623-200406000-00008
17. Hakon K, Lundberg-Jensen A. Ankle arthroplasty in patients younger and older than 50 years: A prospective series with long-term follow-up. Foot Ankle Int 1999;20(8):501-6. https://doi.org/10.1177/107110079902000807
18. Tenenbaum S, Bariteau J, Coleman S, Brodsky J. Functional and clinical outcomes of total ankle arthroplasty in
elderly compared to younger patients. Foot Ankle Surg 2017;23(2):102-7. https://doi.org/10.1016/j.fas.2016.09.005
19. Henn R, Ghomrawi H, Rutledge J, Mazumdar M, Mancuso C, Marx R. Preoperative patient expectations of total
shoulder arthroplasty. J Bone Joint Surg Am 2011;93(22):2110-5. https://doi.org/10.1016/j.yhls.2012.05.018
20. Mancuso C, Salvati E, Johanson N, Petersen M, Charlson M, Patients expectations and satisfaction with total hip arthroplasty. J Arthroplasty 1997;12(4):387-96. https://doi.org/10.1016/s0883-5403(97)90194-7
21. Valderrabano V, Hintermann B, Dick W. Scandinavian total ankle replacement: a 3.7-year average follow-up of 65 patients. Clin Orthop 2004;(424):47-56. https://doi.org/10.1097/01.blo.0000132245.18548.09
22. Wood PLR, Prem H, Sutton C. Total ankle replacement: medium-term results in 200 Scandinavian total ankle
replacements. J Bone Joint Surg Br 2008;90(5):605-9. https://doi.org/10.1302/0301-620X.90B5.19677
23. Fevang BTS, Lie SA, Havelin LI, Brun JG, Skredderstuen A, Furnes O. 257 ankle arthroplasties performed in
Norway between 1994 and 2005. Acta Orthop 2007;78(5):575-83. https://doi.org/10.1080/17453670710014257
24. Stengel D, Bauwens K, Ekkernkmap A, Cramer J. Efficacy of total ankle replacement with meniscal-bearing
devices: a systematic review and meta-analysis. Arch Orthop Trauma Surg 2005;125(2):109-19.
https://doi.org/10.1007/s00402-004-0765-3
25. Demetracopoulos CA, Adams SB, Queen RM, De Orio JK, Nunley JA, Easley ME. Effect of age on outcomes in
total ankle arthroplasty. Foot Ankle Int 2015 36(8):871-80. https://doi.org/10.1177/1071100715579717
26. Saltzman CL, Mann RA, Ahrens JE, Amendola A, Anderson RB, Bertel GC, et al. Prospective controlled trial of
STAR total ankle replacement versus ankle fusion: initial results. Foot Ankle Int 2009;30(7):579-96.
https://doi.org/10.3113/fai.2009.0579
27. Saltzman CL, Zimmerman MB, O’Rourke M, Brown TD, Buckwalter JA, Johnston R. Impact of comorbidities on
the measurement of health in patients with ankle osteoarthritis. J Bone Joint Surg Am 2006;88(11):2366-72.
https://doi.org/10.2106/jbjs.f.00295
28. Choi, WJ, Lee, JW. Heterotopic ossification after total ankle arthroplasty. J Bone Joint Surg Br 2011;93:1508-12.
https://doi.org/10.1302/0301-620X.93B11.27641
29. Koivu H, Kohonen I, Sipola E, Alanen K, Vahlberg T, Tiusanen H. Severe periprosthetic osteolytic lesions after the ankle evolutive system total ankle replacement. J Bone Joint Surg Br 2009;91(7):907-14.
https://doi.org/10.1302/0301-620x.91b7.22434
ankle arthroplasty and ankle arthrodesis. A systematic review of the literature. J Bone Joint Surg Am 2007;90:499-505. https://doi.org/10.2106/jbjs.f.01149
2. Hintermann B, Valderrabano V. Total ankle replacement. Foot Ankle Clin 2003;8:357-405.
https://doi.org/10.1016/s1083-7515(03)00015-9
3. Easley ME, Adams SM, Hembree C, DeOrio JK. Results of total ankle arthroplasty. J Bone Joint Surg Am 2011;93(15):1455-68. https://doi.org/10.2106/JBJS.J.00126
4. Bai L, Lee K, Soon E, Yoon T, Seon J. Total ankle arthroplasty outcome comparison for post-traumatic and primary osteoarthritis. Foot Ankle Int 2010;31:1048-56. https://doi.org/10.3113/FAI.2010.1048
5. Raikin S, Rasouli M, Espandar R, Maltenfort M. Trends in treatment of advanced ankle arthropathy by total ankle replacement or ankle fusion. Foot Ankle Int 2014;35(3):216-24. https://doi.org/10.1177/1071100713517101
6. Kofoed H, Lundberg-Jensen A. Ankle arthroplasty in patients younger and older than 50 years: a prospective series with long-term follow-up. Foot Ankle Int 1999;20:501-6. https://doi.org/10.1177/107110079902000807
7. Stauffer R, Segal N. Total ankle arthroplasty: four year experience. Clin Orthop 1981;160:217-21.
https://doi.org/10.1097/00003086-198110000-00032
8. Bolton-Maggs B, Sudlow R, Freeman M. Total ankle arthroplasty: A long-term review of the London Hospital
experience. J Bone Joint Surg Br 1985;67:785-90. https://doi.org/10.1302/0301-620x.67b5.4055882
9. Kitaoka H, Patzer G. Clinical results of the Mayo total ankle arthroplasty. J Bone Joint Surg Am 1996;78:1658-64.
https://doi.org/10.2106/00004623-199611000-00004
10. Buechel F, Pappas M. New Jersey low contact stress total ankle replacement: Biomechanical rationale and review of 23 cementless cases. Foot Ankle 1980;8:279-90. https://doi.org/10.1177/107110078800800603
11. Lee KB, Cho SG, Hur CI, Yoon TR. Perioperative complications of Hintegra total ankle replacement: our initial 50 cases. Foot Ankle Int 2008;29(10):978-84. https://doi.org/10.3113/fai.2008.0978
12. Hintermann B, Valderrabano V, Dereymaeker G, Dick W. The HINTEGRA Ankle: Rationale and short-term results of 122 consecutive ankles. Clin Orthop Relat Res 2004;424:57-68. https://doi.org/10.1097/01.blo.0000132462.72843.e8
13. Barg A, Knupp M, Henninger HB, Zwicky L, Hintermann B. Total ankle replacement using HINTEGRA, an
unconstrained, three-component system. Foot Ankle Clin 2012;17(4):607-35. https://doi.org/10.1016/j.fcl.2012.08.006
14. Kitaoka HB, Alexander IJ, Adalaar RS, Nunley J, Myerson M, Sanders M. Clinical rating systems for the ankle,
hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int 1994;15:349-53.
https://doi.org/10.1177/107110079701800315
15. Henricson A, Skoog A, Carlsson A. The Swedish Ankle Arthroplasty Register: an analysis of 531 arthroplasties
between 1993 and 2005. Acta Orthop 2007;78(5):569-74. https://doi.org/10.1080/17453670710014248
16. Spirt A, Assal M, Sigvard T, Hansen J. Complication and failure after total ankle arthroplasty. J Bone Joint Surg Am 2004;86(6):1172-8. https://doi.org/10.2106/00004623-200406000-00008
17. Hakon K, Lundberg-Jensen A. Ankle arthroplasty in patients younger and older than 50 years: A prospective series with long-term follow-up. Foot Ankle Int 1999;20(8):501-6. https://doi.org/10.1177/107110079902000807
18. Tenenbaum S, Bariteau J, Coleman S, Brodsky J. Functional and clinical outcomes of total ankle arthroplasty in
elderly compared to younger patients. Foot Ankle Surg 2017;23(2):102-7. https://doi.org/10.1016/j.fas.2016.09.005
19. Henn R, Ghomrawi H, Rutledge J, Mazumdar M, Mancuso C, Marx R. Preoperative patient expectations of total
shoulder arthroplasty. J Bone Joint Surg Am 2011;93(22):2110-5. https://doi.org/10.1016/j.yhls.2012.05.018
20. Mancuso C, Salvati E, Johanson N, Petersen M, Charlson M, Patients expectations and satisfaction with total hip arthroplasty. J Arthroplasty 1997;12(4):387-96. https://doi.org/10.1016/s0883-5403(97)90194-7
21. Valderrabano V, Hintermann B, Dick W. Scandinavian total ankle replacement: a 3.7-year average follow-up of 65 patients. Clin Orthop 2004;(424):47-56. https://doi.org/10.1097/01.blo.0000132245.18548.09
22. Wood PLR, Prem H, Sutton C. Total ankle replacement: medium-term results in 200 Scandinavian total ankle
replacements. J Bone Joint Surg Br 2008;90(5):605-9. https://doi.org/10.1302/0301-620X.90B5.19677
23. Fevang BTS, Lie SA, Havelin LI, Brun JG, Skredderstuen A, Furnes O. 257 ankle arthroplasties performed in
Norway between 1994 and 2005. Acta Orthop 2007;78(5):575-83. https://doi.org/10.1080/17453670710014257
24. Stengel D, Bauwens K, Ekkernkmap A, Cramer J. Efficacy of total ankle replacement with meniscal-bearing
devices: a systematic review and meta-analysis. Arch Orthop Trauma Surg 2005;125(2):109-19.
https://doi.org/10.1007/s00402-004-0765-3
25. Demetracopoulos CA, Adams SB, Queen RM, De Orio JK, Nunley JA, Easley ME. Effect of age on outcomes in
total ankle arthroplasty. Foot Ankle Int 2015 36(8):871-80. https://doi.org/10.1177/1071100715579717
26. Saltzman CL, Mann RA, Ahrens JE, Amendola A, Anderson RB, Bertel GC, et al. Prospective controlled trial of
STAR total ankle replacement versus ankle fusion: initial results. Foot Ankle Int 2009;30(7):579-96.
https://doi.org/10.3113/fai.2009.0579
27. Saltzman CL, Zimmerman MB, O’Rourke M, Brown TD, Buckwalter JA, Johnston R. Impact of comorbidities on
the measurement of health in patients with ankle osteoarthritis. J Bone Joint Surg Am 2006;88(11):2366-72.
https://doi.org/10.2106/jbjs.f.00295
28. Choi, WJ, Lee, JW. Heterotopic ossification after total ankle arthroplasty. J Bone Joint Surg Br 2011;93:1508-12.
https://doi.org/10.1302/0301-620X.93B11.27641
29. Koivu H, Kohonen I, Sipola E, Alanen K, Vahlberg T, Tiusanen H. Severe periprosthetic osteolytic lesions after the ankle evolutive system total ankle replacement. J Bone Joint Surg Br 2009;91(7):907-14.
https://doi.org/10.1302/0301-620x.91b7.22434