Re-arthrodesis after primary ankle fusion : 134/1,716 cases from the Swedish Ankle Registry
(2018) In Acta Orthopaedica 89(5). p.560-564- Abstract
Background and purpose — Arthrodesis is the most common treatment of severe ankle arthritis. Large studies on the occurrence of re-arthrodesis are few, especially with information in terms of risk. We used the National Swedish Ankle Registry to assess incidence and risk factors for re-arthrodesis. Patients and methods — In the Registry, we examined the occurrence of re-arthrodesis in 1,716 patients with a primary ankle arthrodesis. We also analyzed associations between the re-arthrodesis risk and sex, diagnosis, and surgical method. Results — The risk of first re-arthrodesis at 2.5 years was 7.4% and the rate at 9 years 7.8%. The risk following arthroscopic surgery with fixation by screws was 15%, which is statistically significantly... (More)
Background and purpose — Arthrodesis is the most common treatment of severe ankle arthritis. Large studies on the occurrence of re-arthrodesis are few, especially with information in terms of risk. We used the National Swedish Ankle Registry to assess incidence and risk factors for re-arthrodesis. Patients and methods — In the Registry, we examined the occurrence of re-arthrodesis in 1,716 patients with a primary ankle arthrodesis. We also analyzed associations between the re-arthrodesis risk and sex, diagnosis, and surgical method. Results — The risk of first re-arthrodesis at 2.5 years was 7.4% and the rate at 9 years 7.8%. The risk following arthroscopic surgery with fixation by screws was 15%, which is statistically significantly higher than the 8% following the gold standard technique with open screw fixation, the 5% following fixation by intramedullary nailing, and the 3% following fixation by plate and screws. Patients with either idiopathic osteoarthritis or posttraumatic arthritis had a higher risk of re-arthrodesis than patients with rheumatoid arthritis. We could not find that the risk of re-arthrodesis was associated with sex. Interpretation — In Sweden, the re-arthrodesis risk varied by primary technique and was especially high after arthroscopic surgery. Reasons are unknown but poor surgical technique and/or surgeon inexperience may contribute, as may patient selection.
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- author
- Henricson, Anders ; Jehpsson, Lars LU ; Carlsson, Åke LU and Rosengren, Björn E. LU
- publishing date
- 2018-06-20
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Orthopaedica
- volume
- 89
- issue
- 5
- pages
- 560 - 564
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85049110656
- pmid:29947274
- ISSN
- 1745-3674
- DOI
- 10.1080/17453674.2018.1488208
- language
- English
- LU publication?
- no
- id
- 0432a0ab-d6a3-429e-848b-e8bbe117414b
- date added to LUP
- 2018-07-09 13:20:14
- date last changed
- 2024-03-18 11:47:55
@article{0432a0ab-d6a3-429e-848b-e8bbe117414b,
abstract = {{<p>Background and purpose — Arthrodesis is the most common treatment of severe ankle arthritis. Large studies on the occurrence of re-arthrodesis are few, especially with information in terms of risk. We used the National Swedish Ankle Registry to assess incidence and risk factors for re-arthrodesis. Patients and methods — In the Registry, we examined the occurrence of re-arthrodesis in 1,716 patients with a primary ankle arthrodesis. We also analyzed associations between the re-arthrodesis risk and sex, diagnosis, and surgical method. Results — The risk of first re-arthrodesis at 2.5 years was 7.4% and the rate at 9 years 7.8%. The risk following arthroscopic surgery with fixation by screws was 15%, which is statistically significantly higher than the 8% following the gold standard technique with open screw fixation, the 5% following fixation by intramedullary nailing, and the 3% following fixation by plate and screws. Patients with either idiopathic osteoarthritis or posttraumatic arthritis had a higher risk of re-arthrodesis than patients with rheumatoid arthritis. We could not find that the risk of re-arthrodesis was associated with sex. Interpretation — In Sweden, the re-arthrodesis risk varied by primary technique and was especially high after arthroscopic surgery. Reasons are unknown but poor surgical technique and/or surgeon inexperience may contribute, as may patient selection.</p>}},
author = {{Henricson, Anders and Jehpsson, Lars and Carlsson, Åke and Rosengren, Björn E.}},
issn = {{1745-3674}},
language = {{eng}},
month = {{06}},
number = {{5}},
pages = {{560--564}},
publisher = {{Taylor & Francis}},
series = {{Acta Orthopaedica}},
title = {{Re-arthrodesis after primary ankle fusion : 134/1,716 cases from the Swedish Ankle Registry}},
url = {{http://dx.doi.org/10.1080/17453674.2018.1488208}},
doi = {{10.1080/17453674.2018.1488208}},
volume = {{89}},
year = {{2018}},
}