“ What’s New in Foot and Ankle Surgery ” is freely available at. A benchmark of 85% survivorship for second- and third-generation arthroplasties was proposed by the study authors. Eighty-five percent of the available ankles (107 of 126) were found to still be functioning with the original prosthesis in place at the time of patient death or latest follow-up.
#PES 2022 DATABASE SERIES#
Independent predictors of all-cause revision were younger age, implants derived from second-generation designs, and an annual institutional volume of ≤10 TARs.Ī recent report presented 20-year follow-up data for an original series of 132 primary cementless TARs performed with use of the Agility prosthesis 5. Survivorship of metal components was 84% at 5 years and 78% at 10 years. In a study published in JBJS, researchers reported the long-term survivorship of primary total ankle replacements (TARs) and risk factors for revision in a large cohort (4,748 TARs) with use of data extracted from the French Discharge Records Database 4.
The need for a secondary procedure was strongly associated with neuropathy (odds ratio, 5.76 p = 0.03). The investigators found that, of 39 cases, 33% required secondary procedures and 26% required implant removal because of septic or aseptic nonunion. Surgical outcomes were assessed in a retrospective study of patients with critical osseous defects of the hindfoot and/or ankle who had been treated with custom 3D-printed, porous-coated titanium implants 3. In contrast, the overall rate of complications, excluding reruptures, was significantly lower for nonoperative treatment (7.1%) vs. 12.1% in the nonoperative treatment arm (11.7% best-case and 15.0% worst-case). Specifically, they found a pooled rerupture rate of 3.6% in the operative treatment arm (3.4% best-case scenario and 8.3% worst-case) vs. The researchers found that operative treatment significantly reduced the risk of rerupture compared with nonoperative treatment. Achilles Rupture and TendinosisĪ Level-I systematic review and meta-analysis evaluated complication rates following operative and nonoperative treatment of acute Achilles tendon ruptures and included a “best-case scenario” and “worst-case scenario” analysis of rerupture rates (with “best-case” assuming a 0% rerupture rate and “worst-case,” a 100% rerupture rate among patients lost to follow-up) 2. As noted by the study authors, further content validation is needed for the classification scheme, particularly for classes with low diagnostic accuracy.
Misdiagnosis rates were 3.3% for class A, 17.5% for class B, 11.1% for class C, 26.0% for class D, and 3.7% for class E. The overall diagnostic accuracy rate was 71.0% the stage diagnostic accuracy rate, 81.7% and the class diagnostic accuracy rate, 78.3%.
The diagnostic reliability of a new classification for progressive collapsing foot deformity was assessed in a survey of trainees, graduates, and faculty across 13 foot and ankle fellowship programs 1. ” Here, we highlight the 5 most impactful studies, as selected by co-author Walter C. Long-term survivorship of total ankle arthroplasty, rerupture rates associated with the treatment of acute Achilles tendon rupture, and other important findings are presented in the new JBJS Guest Editorial “ What’s New in Foot and Ankle Surgery.
0 kommentar(er)
