Total Ankle Arthroplasty and Ankle Arthrodesis Use: An American Board of Orthopaedic Surgery Part II Database Study |
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| Affiliation: | 1. Resident, Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA;2. Staff Epidemiologist, Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA;3. Professor, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC;4. Assistant Professor, Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA;1. Assistant Professor, Chief of Musculoskeletal Imaging, Department of Diagnostic Radiology, Lenox Hill Hospital, New York, NY;2. Attending Radiologist, Red Bank Radiology, Red Bank, NJ;3. Resident, Department of Diagnostic Radiology, Lenox Hill Hospital, New York, NY;4. Attending Podiatrist, Foot and Ankle Surgeons of New York, New York, NY;5. Biostatistician, Lenox Hill Hospital, New York, NY;1. Assistant Professor, Podiatric Medicine and Surgery Residency Program, The Ohio State University Wexner Medical Center, Columbus, OH;2. Resident, Podiatric Medicine and Surgery Residency Program, The Ohio State University Wexner Medical Center, Columbus, OH;3. Assistant Professor, Podiatric Medicine and Surgery Residency Program, The Ohio State University Wexner Medical Center, Columbus, OH;1. Chief Resident, Grant Medical Center, Columbus, OH;2. Resident Physician, Grant Medical Center, Columbus, OH;3. Faculty, Grant Medical Center, Columbus, OH;4. Fellowship-Trained Foot and Ankle Surgeon, Orthopedic Foot and Ankle Center, Westerville, OH;5. Residency Program Director, Grant Medical Center, Columbus, OH;1. Assistant Professor, Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan;2. Assistant Professor, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Akita, Japan;3. Orthopaedic Surgeon, Department of Orthopedic Surgery, Akita City Hospital, Akita, Akita, Japan;4. Orthopaedic Surgeon, Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan;5. Professor, Second Division of Physical Therapy, Sapporo Medical University School of Health Sciences, Sapporo, Hokkaido, Japan;6. Professor, Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Akita, Japan;7. Professor, Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan;1. Surgeon, Section for Foot and Ankle Surgery, Department of Orthopaedic Surgery, Østfold Hospital, Grålum, Norway;2. Surgeon, Section for Foot and Ankle Surgery, Department of Orthopaedic Surgery, Oslo University Hospital Ullevål, Oslo, Norway |
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| Abstract: | Total ankle arthroplasty (TAA) use has increased during the past 20 years, whereas ankle arthrodesis (AAD) use has remained constant. The purpose of this study was to examine trends in TAA and AAD use in American Board of Orthopedic Surgery Part II candidates while considering the influence of fellowship training status on treatment of end-stage ankle arthritis. The American Board of Orthopedic Surgery Part II database was queried to identify all candidates who performed ≥1 TAA or AAD from examination years 2009 through 2018. Candidates were categorized by examination year and by self-reported fellowship training status. Descriptive statistical methods were used to report procedure volumes. Trends in use of TAA and AAD were examined by using log-modified regression analyses. From 2009through 2018, there was no significant change in TAA or AAD use among all candidates (p = .92, p = .20). Candidates reporting a foot and ankle fellowship trended toward increased use of TAA relative to AAD compared with non–foot and ankle fellowship candidates, but this failed to reach statistical significance (p = .06). The use of arthroscopic AAD increased over time (p < .01) among all candidates. TAA and AAD use did not change over the study period. Volume of TAA and AAD performed by early-career surgeons remains low. The findings in this study should serve as an important reference for orthopedic trainees, early-career surgeons, and orthopedic educators interested in optimizing training curriculum for surgical management of end-stage ankle arthritis. |
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