دورية أكاديمية
Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases.
| العنوان: | Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases. |
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| المؤلفون: | Wu KA; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina., Anastasio AT; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina., DeOrio JK; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina., Nunley JA; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina., Easley ME; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina., Adams SB; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina. |
| المصدر: | Foot & ankle specialist [Foot Ankle Spec] 2024 Sep 20, pp. 19386400241274551. Date of Electronic Publication: 2024 Sep 20. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101473598 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-7636 (Electronic) Linking ISSN: 19386400 NLM ISO Abbreviation: Foot Ankle Spec Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Thousand Oaks, CA : Sage Publications |
| مستخلص: | This study assesses the comorbidities that are associated with failed revision total ankle arthroplasty (TAA) and explores the outcomes following a failed revision TAA. A retrospective analysis was conducted on a cohort of patients who underwent a revision TAA at a single institution from 2008 to 2022. Patients were identified as having revision failure if they required explantation, below-knee amputation (BKA), or a revision of either metal component. Statistical analysis was performed to identify any significant differences and summarize outcomes. The study included a total of 87 patients who underwent revision TAA with 12 patients who subsequently experienced revision failure. The revision TAA failure rate was 13.8%. There were higher rates of former smokers (58.3%; n = 7) and a history of diabetes (33.3%; n = 4) in the failure cohort, although these differences did not reach statistical significance. Limb salvage procedures were achieved in 11 cases (91.7%). Approaches for failed revision TAAs included arthrodesis (n = 5) with 2 isolated ankle arthrodesis (AA) and 3 tibio-talo-calcaneal (TTC) arthrodesis, an additional revision arthroplasty (n = 6), or amputation (n = 1). Ankle arthroplasty retention was successful in 6 cases (50.0%). Our results demonstrate that a second revision approach was chosen in half of the cases, underscoring its viability as a successful intervention according to patient preferences. Level of Evidence: III. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: diabetes; failed revision; revision total ankle arthroplasty; smoking; successful revision |
| تواريخ الأحداث: | Date Created: 20240921 Latest Revision: 20240921 |
| رمز التحديث: | 20240922 |
| DOI: | 10.1177/19386400241274551 |
| PMID: | 39305052 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1938-7636 |
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| DOI: | 10.1177/19386400241274551 |