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Cited 82 time in webofscience Cited 91 time in scopus
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Total ankle arthroplasty versus ankle arthrodesis for the treatment of end-stage ankle arthritis: a meta-analysis of comparative studies

Authors
Kim, Hyun JungSuh, Dong HunYang, Jae HyukLee, Jin WooKim, Hak JunAhn, Hyeong SikHan, Seung WooChoi, Gi Won
Issue Date
Jan-2017
Publisher
Springer Verlag
Keywords
Ankle; Arthritis; Arthrodesis; Arthroplasty; Meta-analysis; Comparative study
Citation
International Orthopaedics, v.41, no.1, pp 101 - 109
Pages
9
Indexed
SCIE
SCOPUS
Journal Title
International Orthopaedics
Volume
41
Number
1
Start Page
101
End Page
109
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/5409
DOI
10.1007/s00264-016-3303-3
ISSN
0341-2695
1432-5195
Abstract
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. Methods We conducted a comprehensive search in the MEDLINE, EMBASE, and Cochrane library databases. Only retrospective or prospective comparative studies were included in this meta-analysis. The literature search, data extraction, and quality assessment were conducted by two independent reviewers. The primary outcomes were clinical scores and patient satisfaction. We also investigated the prevalence of complications and the re-operation rate. Results Ten comparative studies were included (four prospective and six retrospective studies). There were no significant differences between the two procedures in the American Orthopaedic Foot and Ankle Society ankle–hindfoot score, Short Form-36 physical component summary and mental component summary scores, visual analogue scale for pain, and patient satisfaction rate. The risk of re-operation and major surgical complications were significantly increased in the TAA group. Conclusions The meta-analysis revealed that TAA and AA could achieve similar clinical outcomes, whereas the incidence of re-operation and major surgical complication was significantly increased in TAA. Further studies of high methodological quality with long-term follow-up are required to confirm our conclusions.
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5. Others > Others(Medicine) > 1. Journal Articles
1. Basic Science > Department of Preventive Medicine > 1. Journal Articles
2. Clinical Science > Department of Orthopedic Surgery > 1. Journal Articles
3. Graduate School > Graduate School > 1. Journal Articles

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Kim, Hak Jun
Guro Hospital (Department of Orthopedic Surgery, Guro Hospital)
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