Table 3 Total ankle arthroplasty and ankle arthrodesis study complications, reoperations, and failures
From: Total ankle arthroplasty versus ankle arthrodesis—a comparison of outcomes over the last decade
Complication rate | |||||||||
|---|---|---|---|---|---|---|---|---|---|
Author | Number of ankles | Wound complications (n) | Fracture (n) | Deep infection (n) | TAA aseptic loosening/AA nonunion (n) | Overall rate (n) | Non-revision reoperation rate | Revision for implant failure (TAA) or revision fusion (AA) | Kaplan-Meier survivorship analysis |
Total ankle arthroplasty (TAA) | |||||||||
Gross et al. [14] | 455 | NR | NR | 1.5% (7) | NR | 14.1% (64) | NR | 3.1% (14) | NR |
Demetracopoulos et al. [15] | 395 | 6.6% (26) | NR | 0.8% (3) | NR | NR | 9.6% (38) | 5.1% (20) | NR |
Lewis et al. [16] | 249 | 8.4% (21) | 3.6% (9) | 1.2% (3) | 4.0% (10) | NR | 14.5% (36) | 8.4% (21) | NR |
Barg et al. [17] | 722 | NR | NR | 0.4% (3) | 5.8% (42) | NR | NR | 8.4% (61) | 94.0% at 5 years 84.0% at 10 years |
Schenk et al. [18] | 218 | 2.3% (5) | 2.3% (5) | 1.4% (3) | 1.8% (4) | NR | NR | 16.5% (36) | 86.6% at 5 years (95% CI 81.2–91.9) |
Wood et al. [19] | 200 | 2.5% (5) | 9.5% (19) | NR | 12.5% (25) | 32.5% (65) | 3.0% (6) | 12.0% (24) | 93.3% at 5 years (95% CI 89.8–96.8) 80.3% at 10 years (95% CI 71.0–89.6) |
Adjusted rate | 2239 | 5.4% (57/1062) | 4.9% (33/667) | 0.9% (19/2039) | 5.8% (81/1389) | 19.7% (129/655) | 9.5% (80/844) | 7.9% (176/2239) | |
Ankle arthrodesis (AA) | |||||||||
Chalayon et al. [8] | 215 | 14.4% (31) | 0.9% (2) | 5.1% (11) | 9.3% (20) | 40.9% (88) | 11.2% (24) | 7.4% (16) | NR |
Gordon et al. [9] | 82 | 2.4% (2) | 1.2% (1) | 0% (0) | 0% (0) | 20.7% (17) | 14.6% (12) | 0% (0) | NR |
Zwipp et al. [10] | 94 | 5.3% (5) | 0% (0) | 0% (0) | 1.1% (1) | 9.6% (9) | 3.2% (3) | 1.1% (1) | NR |
Nielsen et al. [11] | 107 | NR | NR | 2.8% (3) | 10.3% (11) | NR | 23.4% (25) | 4.7% (5) | NR |
Muckley et al. [12] | 110 | 10% (11) | 0.9% (1) | 7.3% (8) | 14.5% (16) | 19.1% (21) | NR | 10% (11) | NR |
Adjusted rate | 608 | 9.8% (49/501) | 0.8% (4/501) | 3.6% (22/608) | 7.9% (48/608) | 26.9% (135/501) | 12.9% (64/498) | 5.4% (33/608) | |