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Ankle arthroplasty complication

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https://www.readbyqxmd.com/read/27889092/current-quality-measurement-tools-are-insufficient-to-assess-complications-in-orthopedic-surgery
#1
Arjun S Sebastian, Stephanie F Polites, Amy E Glasgow, Elizabeth B Habermann, Robert R Cima, Sanjeev Kakar
PURPOSE: The American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) is a clinically-derived, validated tool to track outcomes in surgery. The Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) are a set of computer algorithms run on administrative data to identify adverse events. The purpose of this study is to compare complications following orthopedic surgery identified by ACS-NSQIP and AHRQ-PSI. METHODS: Patients between 2010 and 2012 who underwent orthopedic procedures (arthroplasty, spine, trauma, foot and ankle, hand, and upper extremity) at our tertiary-care, academic institution were identified (n = 3,374)...
November 23, 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27793137/time-trends-and-risk-factors-for-perioperative-complications-in-total-ankle-arthroplasty-retrospective-analysis-using-a-national-database-in-japan
#2
Takumi Matsumoto, Hideo Yasunaga, Hiroki Matsui, Kiyohide Fushimi, Naohiro Izawa, Tetsuro Yasui, Yuho Kadono, Sakae Tanaka
BACKGROUND: Total ankle arthroplasty (TAA) has become increasingly popular worldwide as an alternative to ankle arthrodesis for surgical treatment of end-stage ankle arthritis. The aim of this epidemiological study, using a national inpatient database in Japan, was to describe the volume, utilization, patient characteristics, and temporal trends regarding these procedures in Japan, and to identify the risk factors associated with perioperative adverse events in TAA. METHODS: This was a population-based, retrospective cohort study...
October 28, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27726920/a-rare-complication-of-total-knee-arthroplasty-type-l-complex-regional-pain-syndrome-of-the-foot-and-ankle
#3
Gözde Özcan Söylev, Hakan Boya
Complex regional pain syndrome (CRPS) is a painful and disabling disorder that usually affects the extremities. This complication may affect the knee joint after total knee arthroplasty (TKA). We report a unique case of CRPS of the foot and ankle, which was an unusual involvement site for CRPS after TKA.
October 7, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27717989/total-ankle-arthroplasty-versus-ankle-arthrodesis-for-the-treatment-of-end-stage-ankle-arthritis-a-meta-analysis-of-comparative-studies
#4
Hyun Jung Kim, Dong Hun Suh, Jae Hyuk Yang, Jin Woo Lee, Hak Jun Kim, Hyeong Sik Ahn, Seung Woo Han, Gi Won Choi
PURPOSE: Total ankle arthroplasty (TAA) and ankle arthrodesis (AA) are the main surgical treatment options for end-stage ankle arthritis. Although the superiority of each modality remains debated, there remains a lack of high-quality evidence-based studies, such as randomized controlled clinical trials, and meta-analyses of comparative studies. We performed a meta-analysis of comparative studies to determine whether there is a significant difference between these two procedures in terms of (i) clinical scores and patient satisfaction, (ii) re-operations, and (iii) complications...
October 7, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27595854/surgical-treatment-of-bony-and-soft-tissue-impingement-in-total-ankle-arthroplasty
#5
Christopher E Gross, Samuel B Adams, Mark Easley, James A Nunley, James K DeOrio
: Background Impingement may be an underreported problem following modern total ankle replacements (TARs). The etiology of impingement is unclear and likely multifactorial. Because of the lack of conservative treatment options for symptomatic impingement after TAR, surgery is often necessary. Methods We retrospectively identified a consecutive series of 1001 primary TARs performed between January 1998 and December 2014. We identified patients who required a secondary surgery to treat soft-tissue and bony impingement by either an open or arthroscopic procedure...
September 5, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27563365/anatomic-versus-mechanically-aligned-total-knee-arthroplasty-for-unicompartmental-knee-arthroplasty-revision
#6
Panagiota Toliopoulos, Marc-Andre LeBlanc, Jonathan Hutt, Martin Lavigne, Francois Desmeules, Pascal-Andre Vendittoli
OBJECTIVES: The purpose of this study was to compare the intra-operative benefits and the clinical outcomes from kinematic or mechanical alignment for total knee arthroplasty (TKA) in patients undergoing revision of failed unicompartmental kneel arthroplasty (UKA) to TKA. METHODS: Ten revisions were performed with a kinematic alignment technique and 11 with a mechanical alignment. Measurements of the hip-knee-ankle angle (HKA), the lateral distal femoral angle (LDFA), and the medial proximal tibial angle (MPTA) were performed using long-leg radiographs...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27540011/long-term-functional-and-radiographic-outcome-of-a-mobile-bearing-ankle-prosthesis
#7
Yvonne R A Kerkhoff, Nienke M Kosse, Wieneke P Metsaars, Jan Willem K Louwerens
BACKGROUND: Total ankle arthroplasty is an accepted alternative to arthrodesis of the ankle. However, complication and failure rates remain high. Long-term results of the Scandinavian Total Ankle Replacement (STAR) are limited, with variable complication and failure rates observed. This prospective study presents the long-term survivorship and postoperative complications of the STAR prosthesis. METHODS: Between May 1999 and June 2008, 134 primary total ankle arthroplasties were performed using the STAR prosthesis in 124 patients...
December 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27540010/influence-of-surgeon-volume-on-inpatient-complications-cost-and-length-of-stay-following-total-ankle-arthroplasty
#8
Bryce A Basques, Adam Bitterman, Kevin J Campbell, Bryan D Haughom, Johnny Lin, Simon Lee
BACKGROUND: Increased surgeon volume may be associated with improved outcomes following operative procedures. However, there is a lack of information on the effect of surgeon volume on inpatient adverse events and resource utilization following total ankle arthroplasty (TAA). METHODS: A retrospective cohort study of TAA patients was performed using the Nationwide Inpatient Sample (NIS) from 2003 to 2009. High-volume surgeons were considered as those with volume ≥90th percentile of surgeons performing TAA...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27502222/short-term-results-of-the-mobility-total-ankle-system-clinical-and-radiographic-outcome
#9
Yvonne R A Kerkhoff, Nienke M Kosse, Jan Willem K Louwerens
BACKGROUND: Ankle arthroplasty is increasingly used to reduce pain and improve or maintain joint mobility in end-stage ankle arthritis. The aim of this study was to assess the clinical and radiographic short term results of the Mobility prosthesis. METHODS: Complications, secondary operations, failures and the survival rate were retrospectively examined in 67 primary Mobility total ankle arthroplasties. Prosthesis alignment was measured and patient reported outcomes were assessed with the use of questionnaires...
September 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27423250/quadruple-component-superficial-circumflex-iliac-artery-perforator-scip-flap-a-chimeric-scip-flap-for-complex-ankle-reconstruction-of-an-exposed-artificial-joint-after-total-ankle-arthroplasty
#10
Takumi Yamamoto, Takafumi Saito, Ryohei Ishiura, Takuya Iida
Total ankle arthroplasty (TAA) is becoming popular in patients with rheumatoid arthritis (RA)-associated ankle joint degeneration. However, ankle wound complications can occur after TAA, which sometimes requires challenging reconstruction due to anatomical complexity of the ankle. Superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been reported to be useful for various reconstructions, but no case has been reported regarding a chimeric SCIP flap for complex ankle reconstruction. We report a case of complex ankle defect successfully reconstructed with a free quadruple-component chimeric SCIP flap...
September 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27380279/hindfoot-arthrodesis-with-the-blade-plate-increased-risk-of-complications-and-nonunion-in-a-complex-patient-population
#11
Troy M Gorman, Timothy C Beals, Florian Nickisch, Charles L Saltzman, Mikayla Lyman, Alexej Barg
BACKGROUND: Previous hindfoot surgeries present a unique challenge to hindfoot arthrodesis, as the patients may have multiple incisions around the hindfoot. In high-risk patients with compromised soft tissues, a posterior approach can provide an alternative for a fresh soft tissue plane for the surgery. The use of a blade plate construct is widely accepted; however, there are limited data supporting the use of a posterior approach. QUESTIONS/PURPOSES: We asked (1) what proportion of patients treated with this technique achieved osseous union; (2) what complications were observed; (3) were any patient-demographic or health-related factors associated with the likelihood that a patient would have a complication develop? METHODS: Between December 2001 and July 2014, 42 patients received a posterior blade plate...
October 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27344053/association-of-cigarette-use-and-complication-rates-and-outcomes-following-total-ankle-arthroplasty
#12
Alexander Lampley, Christopher E Gross, Cynthia L Green, James K DeOrio, Mark Easley, Samuel Adams, James A Nunley
BACKGROUND: Tobacco use is a known risk factor for increased perioperative complications and having worse functional outcomes in many orthopedic procedures. To date, no study has elucidated the effect of cigarette smoking on complications or functional outcome scores after total ankle replacement (TAR). METHODS: We retrospectively reviewed the records of 642 patients who had TAR between June 2007 and February 2014 with a known smoking status. These patients were separated into 3 groups based on their smoking status: 34 current smokers, 249 former smokers, and 359 nonsmokers...
June 25, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27263163/total-ankle-arthroplasty-using-the-agility-stemmed-talar-revisional-component-three-to-eight-year-follow-up
#13
Gregory F Alvine, Franklin G Alvine
BACKGROUND: Ankle fusion has been the traditional treatment of choice for failed total ankle arthroplasties or arthritic conditions that preclude the use of primary implants. A custom stemmed agility talar component was designed to be used in these conditions. METHODS: The first 30 cases by a single surgeon were reviewed at two intervals. The study was a retrospective chart review with data including ankle diagnosis, deformity, bone loss and other factors that may have an impact on ankle arthroplasty...
April 2016: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://www.readbyqxmd.com/read/27261806/total-ankle-arthroplasty-an-overview-of-the-canadian-experience
#14
REVIEW
Warren C W Latham, Johnny T C Lau
Total ankle arthroplasty use has increased across Canada over the last two decades. Multiple implant designs are readily available and implanted across Canada. Although arthrodesis is a reliable procedure for treating end-stage ankle arthritis, ankle replacement is often the preferred surgical treatment by patients. A recent prospective study evaluated intermediate-term outcomes of ankle replacement and arthrodesis at multiple centers across Canada, with variability in prosthesis type, surgeon, and surgical technique...
June 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27255589/metatarsal-head-resurfacing-arthroplasty-in-the-treatment-of-hallux-rigidus-is-it-reliable-treatment-option
#15
E Circi, T Tuzuner, E Sukur, A Baris, E Kanay
BACKGROUND: This study looks at the failure and complications arising secondary to resurfacing and hemi-arthroplasty done at the metatarsal head in patients with hallux rigidus. Our report includes a review of the relevant literature to verify the validity of our techniques. MATERIALS AND METHODS: We performed metatarsal head resurfacing with hemi-arthroplasty using the HemiCap(®), on 12 patients with hallux rigidus between the dates of March 2010 and October 2013...
August 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27218480/comparison-between-closing-wedge-and-opening-wedge-high-tibial-osteotomy-in-patients-with-medial-knee-osteoarthritis-a-systematic-review-and-meta-analysis
#16
Hao Sun, Lin Zhou, Fengsheng Li, Jun Duan
Young active patients with medial knee osteoarthritis (OA) combined with varus leg alignment can be treated with high tibial osteotomy (HTO) to stop the progression of OA and avoid or postpone total knee arthroplasty (TKA). Closing-wedge osteotomy (CWO) and opening-wedge osteotomy (OWO) are the most commonly used osteotomy techniques. The purpose of this study was to compare the clinical and radiologic outcomes and complications between OWO and CWO. We retrospectively evaluated 23 studies including 17 clinical trials from published databases from their inception to May 2015...
May 24, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/27185463/surgical-treatments-for-osteoarthritis
#17
Nicolas de l'Escalopier, Philippe Anract, David Biau
There are two main surgical treatments for osteoarthritis: conservative treatments, where the damaged cartilage is left in place, and radical treatments, where the cartilage is replaced by an artificial endoprosthesis; this latter procedure is termed joint arthroplasty. These treatments are only offered to symptomatic patients. Arthrodesis is yet another surgical intervention in cases of osteoarthritis. It will sacrifice the joint's articular function and is performed on small osteoarthritic joints, such as wrists and ankles, for instance...
June 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27167420/-eleven-year-experience-with-total-ankle-arthroplasty
#18
S Popelka, A Sosna, P Vavřík, D Jahoda, V Barták, I Landor
UNLABELLED: PURPOSE OF THE STUDY Total joint replacement is one of the options in surgical treatment of advanced ankle arthritis. It allows the ankle to remain mobile but, unfortunately, it does not provide the same longevity as total knee or hip replacements. Therefore, decisions concerning the kind of treatment are very individual and depend on the clinical status and opinion of each patient. MATERIAL AND METHODS A total of 132 total ankle replacements were carried out in the period from 2004 to 2015...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/27135448/epidemiology-of-total-ankle-arthroplasty-trends-in-new-york-state
#19
Christine M Seaworth, Huong T Do, Ettore Vulcano, Sriniwasan B Mani, Stephen L Lyman, Scott J Ellis
The rate of total ankle arthroplasty (TAA) is increasing in the United States as its popularity and indications expand. There currently is no national joint registry available to monitor outcomes, and few studies have addressed the challenges faced with TAA. The purpose of this study was to evaluate the incidence, complications, and survival rates associated with TAA using a large statewide administrative discharge database. Individuals who underwent primary TAA from 1997 to 2010 were identified in the Statewide Planning and Research Cooperative System database from the New York State Department of Health...
May 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27134529/total-ankle-arthroplasty-an-imaging-overview
#20
Da-Rae Kim, Yun Sun Choi, Hollis G Potter, Angela E Li, Ka-Young Chun, Yoon Young Jung, Jin-Su Kim, Ki-Won Young
With advances in implant technology, total ankle arthroplasty (TAA) has become an increasingly popular alternative to arthrodesis for the management of end-stage ankle arthritis. However, reports in the literature do not focus on the imaging features of TAA. Through a literature review, we demonstrate basic design features of the current ankle arthroplasty system, and the normal and abnormal postoperative imaging features associated with such devices. Pre- and postoperative evaluations of ankle arthroplasty mainly include radiography; in addition, computed tomography and magnetic resonance imaging provide further characterization of imaging abnormalities...
May 2016: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
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