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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Braito, Matthias Dammerer, Dietmar Kaufmann, Gerhard Fischler, Stefan Carollo, James Reinthaler, Andrea Huber, Dennis Biedermann, Rainer |
| Description | Country affiliation: Austria Author Affiliation: Braito M ( Department of Orthopaedics, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria.) |
| Abstract | PURPOSE: Prior studies have reported improved gait performance and kinematics after total ankle arthroplasty (TAR) compared to ankle arthrodesis (AAD). Given these findings, AAD has been primarily considered as a salvage procedure that may lead to adjacent joint degeneration. METHODS: A total of 101 TAR and 40 screw arthrodeses were enrolled in a retrospective study with a prospectively designed follow-up examination that included gait analysis and outcome assessment with the AOFAS hindfoot score and FAOS questionnaire. RESULTS: Significant asymmetry in gait and reduced range of motion compared to normal remained after both procedures. Subjective outcome improved after both procedures, and pain was significantly better after TAR. Limited functional gains after TAR and joint degeneration to the same degree after both procedures was seen in the mid-term. Hindfoot fusion seemed to have a greater impact on postoperative function than ankle arthrodesis. CONCLUSION: Considering only minor functional gains of TAR compared to AAD the implantation of current TAR designs in large patient series may be questioned. |
| File Format | HTM / HTML |
| ISSN | 03412695 |
| e-ISSN | 14325195 |
| DOI | 10.1007/s00264-014-2428-5 |
| Journal | International Orthopaedics |
| Issue Number | 8 |
| Volume Number | 38 |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2014-08-01 |
| Publisher Place | Germany |
| Access Restriction | Open |
| Subject Keyword | Discipline Orthopedics Ankle Joint Physiology Arthrodesis Arthroplasty, Replacement, Ankle Osteoarthritis Surgery Range Of Motion, Articular Biomechanical Phenomena Gait Patient Outcome Assessment Prospective Studies Radiography Retrospective Studies Questionnaires Comparative Study |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
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