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Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review
Joint Authors
Chapman, Anna
Jordan, Robert W.
Chahal, Gurdip S.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-21
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Introduction.
End-stage ankle osteoarthritis is a debilitating condition.
Traditionally, ankle arthrodesis (AA) has been the surgical intervention of choice but the emergence of total ankle replacement (TAR) has challenged this concept.
This systematic review aims to address whether TAR or AA is optimal in terms of functional outcomes.
Methods.
We conducted a systematic review according to PRISMA checklist using the online databases Medline and EMBASE after January 1, 2005.
Participants must be skeletally mature and suffering from ankle arthrosis of any cause.
The intervention had to be an uncemented TAR comprising two or three modular components.
The comparative group could include any type of ankle arthrodesis, either open or arthroscopic, using any implant for fixation.
The study must have reported at least one functional outcome measure.
Results.
Of the four studies included, two reported some significant improvement in functional outcome in favour of TAR.
The complication rate was higher in the TAR group.
However, the quality of studies reviewed was poor and the methodological weaknesses limited any definitive conclusions being drawn.
Conclusion.
The available literature is insufficient to conclude which treatment is superior.
Further research is indicated and should be in the form of an adequately powered randomised controlled trial.
American Psychological Association (APA)
Jordan, Robert W.& Chahal, Gurdip S.& Chapman, Anna. 2014. Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review. Advances in Orthopedics،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-513790
Modern Language Association (MLA)
Jordan, Robert W.…[et al.]. Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review. Advances in Orthopedics No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-513790
American Medical Association (AMA)
Jordan, Robert W.& Chahal, Gurdip S.& Chapman, Anna. Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review. Advances in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-513790
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513790