Sequential bilateral total ankle replacements: No difference in patient-reported outcomes between the first and second ankle

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-08-01 DOI:10.1016/j.fas.2024.04.005

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Abstract

Background

Total ankle replacement is an established treatment for end-stage arthritis. However, there is little data examining outcomes in sequential bilateral replacements. This study aimed to compare outcomes between first and second ankles in sequential replacement.

Methods

Patients were retrospectively contacted to complete a follow-up questionnaire including the Manchester-Oxford Foot Questionnaire (MOXFQ), EQ-5D-3 L, and a question assessing satisfaction. Electronic records identified demographics, procedural details, and complications.

Results

Twenty patients underwent sequential bilateral ankle replacement over the study period. At a mean follow-up of four years, 18 patients completed the follow-up questionnaire. There was no statistically significant difference between first and second ankles in terms of MOXFQ score, EQ-5D-3 L or satisfaction. Eleven complications were noted.

Conclusions

We report excellent outcomes after sequential bilateral ankle replacement with no difference in outcomes between first and second ankles. These results can be used to counsel patients in the future and manage expectations.

Level of evidence

IV.

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连续双侧全踝关节置换术：第一踝关节和第二踝关节的患者报告结果无差异

全踝关节置换术是一种治疗终末期关节炎的成熟疗法。然而，很少有数据研究双侧顺序置换的疗效。本研究旨在比较顺序置换术中第一踝和第二踝的治疗效果。研究人员回顾性地联系了患者，让他们填写一份随访问卷，其中包括曼彻斯特-牛津足部问卷（MOXFQ）、EQ-5D-3 L和一个评估满意度的问题。电子记录确定了人口统计学、手术细节和并发症。在研究期间，20 名患者先后接受了双侧踝关节置换术。在平均四年的随访中，有 18 名患者完成了随访问卷。在 MOXFQ 评分、EQ-5D-3 L 或满意度方面，第一踝关节和第二踝关节之间没有明显的统计学差异。共发现 11 例并发症。我们报告了双侧踝关节置换术后的良好疗效，第一踝关节和第二踝关节的疗效没有差异。这些结果可用于今后对患者的指导和期望管理。IV.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.