Several patient factors may contribute to poor outcomes after total ankle arthroplasty
Click Here to Manage Email Alerts
Key takeaways:
- Younger age, arthritis, diabetes and high BMI may be associated with poorer outcomes after total ankle arthroplasty.
- Lifestyle factors were the most common risk factors for readmissions and complications.
LOUISVILLE, Ky. — Data presented here showed younger age, rheumatoid arthritis and comorbidities, including diabetes and higher BMI, were the most reported patient-related risk factors for poorer outcomes after total ankle arthroplasty.
“Overall, these patient-related risk factors may be used to refine selection criteria for total ankle arthroplasty and inform patient expectations,” Ibrahim Haq, MD, ChB, said in his presentation at the American Orthopaedic Foot & Ankle Society Annual Meeting.
To determine selection criteria for patient-related risk factors of poorer outcomes, Haq and colleagues evaluated patient-reported outcome measures (PROMs), perioperative complications and hospital readmissions or failure from 101,177 patients who underwent total ankle arthroplasty.
Haq said the risk factors most frequently associated with poorer PROMs included rheumatoid arthritis and primary osteoarthritis, followed by higher BMI, American Society of Anesthesiologists grade and previous surgery. For revisions and failures, Haq said the most reported patient-related risk factors were younger age, rheumatoid arthritis and higher BMI, while the most common risk factors for complications and hospital readmissions were lifestyle factors, including smoking and diabetes.
Overall, researchers found that the most reported patient-related risk factors for poorer outcomes after total ankle arthroplasty were younger age, rheumatoid arthritis, diabetes and high BMI.
“Further work could be done with ankle arthrodesis to compare risk factors between both procedures,” Haq said.
Collapse
Haq I, et al. Patient-related risk factors associated with poorer outcomes following total ankle arthroplasty: A scoping review of 101,552 cases. Presented at: American Orthopaedic Foot & Ankle Society Annual Meeting; Sept. 20-23, 2023; Louisville, Kentucky.
Read more about
Click Here to Manage Email Alerts