Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian Experience
Category: Ankle Arthritis; Ankle Introduction/Purpose: We report the short-term outcomes of a retrospective cohort of Trabecular Metal total ankle arthroplasties (TAAs) via a transfibular approach from a single, nondesigner surgeon in Australia. Methods: This was a retrospective cohort study. Demogr...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-12-01
|
| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011424S00259 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850243956140408832 |
|---|---|
| author | Andrew Wines MBBS Rajat Mittal PhD Michael Symes FRACS, MBBS, MPH Ellery Clugston MBBS Corey Scholes PhD Alex Wilton MBBS |
| author_facet | Andrew Wines MBBS Rajat Mittal PhD Michael Symes FRACS, MBBS, MPH Ellery Clugston MBBS Corey Scholes PhD Alex Wilton MBBS |
| author_sort | Andrew Wines MBBS |
| collection | DOAJ |
| description | Category: Ankle Arthritis; Ankle Introduction/Purpose: We report the short-term outcomes of a retrospective cohort of Trabecular Metal total ankle arthroplasties (TAAs) via a transfibular approach from a single, nondesigner surgeon in Australia. Methods: This was a retrospective cohort study. Demographic, clinical, and patient-reported outcome measures (PROMs) were collected. The primary outcome was the Foot and Ankle Outcome Score (FAOS), and secondary outcomes included patient satisfaction, the EuroQol-5 Dimension (EQ5D), and complications including revision rates. Results: Between 2016 and 2019, 84 trabecular metal prostheses were implanted in 84 patients. Mean age (SD) at time of surgery was 68 (7.8) years, and 46 (55%) were male. Mean follow-up (SD) was 26.1 (13) months. There were significant improvements in the FAOS (Pain (47.9 to 79.1), activities of daily living (59.5 to 83.7), and quality of life (25.5 to 60.2)) and EQ-5D (0.55 to 0.75) (P < .001), and overall satisfaction was 69.6%. Complications included wound infection/breakdown (11.9%), fibular nonunion (3.5%), plate irritation (3.5%), and tibial nerve neuropathy (3.5%). There were no thromboembolic complications. Implant survivorship was 100%, with Trabecular Metal components retained in all patients. Two patients developed deep infection, with 1 requiring debridement and polyethylene exchange. No patients experienced implant loosening. Conclusion: Our results demonstrate that the trabecular metal survival rates are comparable with other total ankle implants in the Australian Orthopaedic Association National Joint Replacement Registry and as published in other international literature. Overall patient satisfaction was high, as were PROMs. However, the data highlight potential complications uniquely associated with this implant. The authors believe that these figures support TAA via a transfibular approach as a viable option in the treatment of ankle arthritis. |
| format | Article |
| id | doaj-art-70eff28f4f30448eaa82e2ebcdaaefa5 |
| institution | OA Journals |
| issn | 2473-0114 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj-art-70eff28f4f30448eaa82e2ebcdaaefa52025-08-20T01:59:52ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142024-12-01910.1177/2473011424S00259Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian ExperienceAndrew Wines MBBSRajat Mittal PhDMichael Symes FRACS, MBBS, MPHEllery Clugston MBBSCorey Scholes PhDAlex Wilton MBBSCategory: Ankle Arthritis; Ankle Introduction/Purpose: We report the short-term outcomes of a retrospective cohort of Trabecular Metal total ankle arthroplasties (TAAs) via a transfibular approach from a single, nondesigner surgeon in Australia. Methods: This was a retrospective cohort study. Demographic, clinical, and patient-reported outcome measures (PROMs) were collected. The primary outcome was the Foot and Ankle Outcome Score (FAOS), and secondary outcomes included patient satisfaction, the EuroQol-5 Dimension (EQ5D), and complications including revision rates. Results: Between 2016 and 2019, 84 trabecular metal prostheses were implanted in 84 patients. Mean age (SD) at time of surgery was 68 (7.8) years, and 46 (55%) were male. Mean follow-up (SD) was 26.1 (13) months. There were significant improvements in the FAOS (Pain (47.9 to 79.1), activities of daily living (59.5 to 83.7), and quality of life (25.5 to 60.2)) and EQ-5D (0.55 to 0.75) (P < .001), and overall satisfaction was 69.6%. Complications included wound infection/breakdown (11.9%), fibular nonunion (3.5%), plate irritation (3.5%), and tibial nerve neuropathy (3.5%). There were no thromboembolic complications. Implant survivorship was 100%, with Trabecular Metal components retained in all patients. Two patients developed deep infection, with 1 requiring debridement and polyethylene exchange. No patients experienced implant loosening. Conclusion: Our results demonstrate that the trabecular metal survival rates are comparable with other total ankle implants in the Australian Orthopaedic Association National Joint Replacement Registry and as published in other international literature. Overall patient satisfaction was high, as were PROMs. However, the data highlight potential complications uniquely associated with this implant. The authors believe that these figures support TAA via a transfibular approach as a viable option in the treatment of ankle arthritis.https://doi.org/10.1177/2473011424S00259 |
| spellingShingle | Andrew Wines MBBS Rajat Mittal PhD Michael Symes FRACS, MBBS, MPH Ellery Clugston MBBS Corey Scholes PhD Alex Wilton MBBS Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian Experience Foot & Ankle Orthopaedics |
| title | Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian Experience |
| title_full | Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian Experience |
| title_fullStr | Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian Experience |
| title_full_unstemmed | Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian Experience |
| title_short | Early Clinical Outcomes and Complications of Transfibular Total Ankle Arthroplasty: The Australian Experience |
| title_sort | early clinical outcomes and complications of transfibular total ankle arthroplasty the australian experience |
| url | https://doi.org/10.1177/2473011424S00259 |
| work_keys_str_mv | AT andrewwinesmbbs earlyclinicaloutcomesandcomplicationsoftransfibulartotalanklearthroplastytheaustralianexperience AT rajatmittalphd earlyclinicaloutcomesandcomplicationsoftransfibulartotalanklearthroplastytheaustralianexperience AT michaelsymesfracsmbbsmph earlyclinicaloutcomesandcomplicationsoftransfibulartotalanklearthroplastytheaustralianexperience AT elleryclugstonmbbs earlyclinicaloutcomesandcomplicationsoftransfibulartotalanklearthroplastytheaustralianexperience AT coreyscholesphd earlyclinicaloutcomesandcomplicationsoftransfibulartotalanklearthroplastytheaustralianexperience AT alexwiltonmbbs earlyclinicaloutcomesandcomplicationsoftransfibulartotalanklearthroplastytheaustralianexperience |