VIDEO: Younger patients may have higher complication rates after total ankle arthroplasty
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Key takeaways:
- Patients younger than 55 years had the highest rate of all complications after total ankle arthroplasty.
- Patients older than 70 years had a decreased risk for implant failure.
SAN FRANCISCO — Patients younger than 55 years who underwent total ankle arthroplasty had higher complication rates and rates of implant failure compared with patients older than 55 years, according to results presented here.
“Without proper context, the results can be taken to tell us maybe we should not be performing total ankle arthroplasty in younger patient cohorts,” Albert T. Anastasio, MD, PGY-5 at Duke University, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “But in reality, all patients improved significantly and there are relatively low complication and revision rates. However, when we look at the specific breakdown, we do see worse patient-reported outcomes, worse change for preoperative to postoperative patient-reported outcomes and worse complication rates and reoperation rates in the youngest cohort.”
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Anastasio AT, et al. Paper 153. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
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