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Outcome after total ankle arthroplasty—results and findings from worldwide arthroplasty registers

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Abstract

Purpose

The data currently available concerning total ankle arthroplasty (TAA) does not allow valid conclusions in several clinically relevant areas. Total ankle arthroplasty imposes special requirements on the methodology of data collection, evaluation, publication and the assessment of register data.

Methods

We undertook a structured and descriptive analysis of all outcome data available from high-quality national arthroplasty registers worldwide. Register data from Sweden, Finland, Norway, New Zealand and Australia were included in the analysis.

Results

There are marked differences between Europe and Oceania with respect to indications. All data sets show revision rates of approximately 10 % at five years, of which about 40 % of cases are for aseptic loosening. Inlay fractures are relatively common, which indicates potential for the improvement of implants. The documentation of intraoperative surgical errors leading to revision surgery varies significantly among registers. A relevant number of complications are treated without an implant component being exchanged and therefore not covered by a register.

Conclusions

The results of TAA are promising, but the revision rate is higher than for total hip or knee arthroplasty. TAA outcome measurement by means of registers has several specific requirements necessitating additional documentation beyond the basic data set. For methodological reasons the evaluation of results is more complex than for hip or knee arthroplasty. It will therefore be essential to standardise data collection and evaluation and develop a methodology addressing the specific needs of TAA.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstr. 35, 6020, Innsbruck, Austria

    Gerold Labek

  2. Department of Orthopaedic Surgery, Medical University Pleven, 1, Sv. Kliment Ohridski Str, 5800, Pleven, Bulgaria

    Svilen Todorov

  3. Department of Orthopaedic Surgery, Spitalul Judetean Arad, University Arad, Str. Andrey Karoly 2-4, Arad, 310037, Romania

    Liviu Iovanescu

  4. Foisor Orthopaedic Hospital, Blvd. Ferdinand 35-37, Sector 2, Bucharest, Romania

    Christian Ioan Stoica

  5. Department of Orthopaedic Surgery, Linz General Hospital, Krankenhausstr. 9, 4020, Linz, Austria

    Nikolaus Böhler

Authors
  1. Gerold Labek
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  2. Svilen Todorov
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  3. Liviu Iovanescu
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  4. Christian Ioan Stoica
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  5. Nikolaus Böhler
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Correspondence to Gerold Labek.

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Labek, G., Todorov, S., Iovanescu, L. et al. Outcome after total ankle arthroplasty—results and findings from worldwide arthroplasty registers. International Orthopaedics (SICOT) 37, 1677–1682 (2013). https://doi.org/10.1007/s00264-013-1981-7

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  • DOI: https://doi.org/10.1007/s00264-013-1981-7

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