Clinical outcomes comparing arthroscopic vs open ankle arthrodesis |
| |
| Institution: | 1. Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore;2. Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore;3. Department of Orthopaedic Surgery, Mount Elizabeth Hospital, Singapore, Singapore;1. Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, United Kingdom;2. Department of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy;1. Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovak Republic;2. University Department of Orthopaedic Surgery, University Hospital Martin, Kollarova 2, Martin, 036 59, Slovak Republic;3. Department of Orthopaedics, Hospital Pelhrimov, Slovanskeho bratrstvi 710, Pelhrimov, 393 01, Czech Republic;1. Beth Israel Deaconess Medical Center, Boston, MA, USA;2. WakeMed Health and Hospitals, Raleigh, NC, USA;3. American Orthopaedic Foot & Ankle Society, Rosemont, IL, USA;4. Pontificia Univesidad Catolica de Chile, Santiago, Chile;5. Cedars-Sinai Medical Center, Los Angeles, CA, USA;6. Geisinger Commonwealth School of Medicine, Scranton, PA, USA;1. University of Tampere, School of Medicine, Tampere 33520, Finland;2. Department of Orthopaedics and Traumatology, University of Tampere, Faculty of Medicine and Life Sciences and Tampere University Hospital, Teiskontie 35, Tampere, PL2000, 33521, Finland;3. Department of Surgery, Central Finland Central Hospital, Jyväskylä, Finland;4. COXA Hospital for Joint Replacement, Biokatu 6, Tampere 33520, Finland;1. Department of Orthopaedic Surgery, Box Hill Hospital, 8 Arnold Street, Box Hill, Melbourne, Victoria 3128, Australia;2. Department of Surgery, The University of Melbourne, Parkville, Victoria 3010, Australia;3. NeuroSpine Surgery Research Group, The Prince of Wales Private Hospital, 320-346 Barker St, Randwick, New South Wales 2031, Australia;4. Wrexham Maelor Hospital, Croesnewydd Rd, Wrexham, Wales LL13 7TD, UK;1. Department of General, Trauma and Reconstructive Surgery, Munich University Hospital LMU, Munich, Germany;2. Department of Trauma and Orthopaedic Surgery, Hospital München-Schwabing, Kölnerplatz 1, 80804 Munich, Germany;3. Hessing Foundation, Clinic for Foot and Ankle Surgery, Hessingstr. 17, 86159 Augsburg, Germany |
| |
| Abstract: | BackgroundOver the last twenty years, minimally invasive ankle arthrodesis has evolved into a well-tolerated and safe procedure. It has grown in favor to open ankle arthrodesis due to shorter length of stay and fewer complications recorded. This paper aims to compare the clinical outcomes of arthroscopic vs open ankle arthrodesis at 24-months followup.MethodsFrom 2004 to 2015, we reviewed a prospectively collected database in a tertiary hospital foot and ankle registry. 28 feet that underwent arthroscopic ankle arthrodesis were matched to 56 feet that underwent open ankle arthrodesis for age, sex and body mass index (BMI). Visual analogue scale (VAS) scores, American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-hindfoot Scores and Short Form Health Survey (SF-36) were obtained to assess clinical outcomes. These parameters were collected before surgery, at 6 months and 24 months after surgery.ResultsThe arthroscopic group demonstrated significant less pain in the perioperative period (arthroscopic: 1.9 ± 1.2, open: 3.8 ± 1.1, p < 0.001) and shorter length of hospitalization stay (arthroscopic: 2.1 ± 0.7 open: 3.5 ± 1.7, p < 0.001). Patients who underwent arthroscopic ankle arthrodesis also reported a higher SF-36 score on physical functioning at 6 months (arthroscopic: 58.4 ± 27.1, open: 47.1 ± 24.0, p < 0.05) and higher AOFAS Ankle-hindfoot Scale score at 24-months (arthroscopic: 78.9 ± 18.9, open: 68.9 ± 24.7, p < 0.05). There were no postoperative complications in the arthroscopic group but 11 in the open group, including 9 which required followup operations. There was no significant difference in length of operative procedure between both groups.ConclusionsWe conclude that the arthroscopic group displayed better clinical outcomes compared to the open group at the 24 months followup. The advantages of arthroscopic ankle arthrodesis include significantly less perioperative pain, higher AOFAS Ankle-hindfoot scores at 24 months, shorter length of stay, fewer postoperative complications and followup operations.Level of evidenceLevel III, retrospective comparative series. |
| |
| Keywords: | Ankle arthrodesis Arthroscopic Open 2 year Clinical outcomes |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
