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Ankle Replacement (TAR) shows a similar impact on patients with osteoarthritis
following pilon fracture compared to other manifestations.
According to a recent study published in Foot & Ankle
International, Total Ankle Replacement (TAR) offers a similar effect on
osteoarthritis following pilon fracture compared to other manifestations like
rheumatoid arthritis (RA), ankle fracture (AF) or post-traumatic arthritis
without any previous arthritis (PTOA). Earlier, the consequences of TAR for
osteoarthritis (OA) after pilon fracture (PF) were unreported. Therefore, this
study was conducted by Adam Bennett and colleagues to evaluate the role of TAR
on OA following pilon fracture and compared the outcomes with various other
manifestations.
The PROMs (patient-reported outcome measures) from 2006 to 2014
for TAR by a single surgeon were analysed. The SF-36, comorbidities, Foot and
Ankle Outcome Score (FAOS), patient satisfaction scores and self-reported BMI
(body mass index) were also examined. The data was assembled before treatment
and after the first and second years of therapy. Radiographs and clinical notes
highlighted the different manifestations of TAR like RA, OA, PTOA, AF and PF. A
total of 173 TARs [PTOA (12), PF (15), RA (21), AF(36) and OA (89)] were
available for PROMs. Out of all the PF group were the youngest (56.5 years) and
had highest BMI (31.6 kg/m2). The number of noticed comorbidities showed no
difference (p > .05).
All groups presented considerable improvement in FAOS by one year
postoperatively. Further, all groups showed similar SF-36 outcomes in all
parameters by two years postoperatively. The emotional (0.042) and physical
(0.018) domains also dispensed a considerable improvement by one year after the
treatment. The patient satisfaction score was also the same for all
indications. At two year postoperatively, all groups showed almost similar
outcomes.
Foot & Ankle International
Total Ankle Replacement for Osteoarthritis Following Pilon Fracture of the Tibia
Adam Bennett et al.
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