Foot & Ankle International - 2017 FAI Supplement - 35S
June 2013 in our institution. For four patients who were operated on both feet, only the measurements from the foot operated first were used for further analysis. The patients were
assessed clinically and radiographically preoperatively, six
and 16 weeks postoperatively and thereafter annually. The
examination was done by independent examiners who were
not involved in the treatment of the patients or analysis of the
data. Kaplan-Meier survival analysis was performed with
total ankle replacement and arthrodesis of the ankle joint as
endpoints. A Cox proportional hazards model was performed
to identify risk factors for failure.
Results: The mean time to follow-up was 5.0 ± 3.7 years.
The overall five-year survival rate was 88%. Thirty-eight
patients (12.9%) either underwent secondary total ankle
replacement or ankle arthrodesis (thirty total ankle replacements, eight ankle arthrodesis). A lost to follow-up was
reported in eleven patients (3.7%). Overall, the AOFAS
Hindfoot score increased from 53.2 preoperatively (SD,
19.9) to 72.7 (SD, 19.2) postoperatively. Risk factors for
failure following realignment surgery were age at the time
of surgery and a Takakura score of 3b preoperatively. An
interaction by trend was also found between age and smoking, indicating that the increased risk in elderly patients
was larger in smokers than in non-smokers at the time of
surgery.
Conclusion: We found good mid- to long-term results for
supramalleolar osteotomies in patients with ankle osteoarthritis. The present data suggests that corrective osteotomies need to be considered in the surgical treatment of
young and active patients with early- to mid-stage ankle
osteoarthritis (Takakura stage 1 to 3a). This is particularly
important, as ankle replacement at young age cannot be
considered a lifetime solution. However, care should be
taken in elderly patients who smoke at the time of surgery.
Foot & Ankle International, 38(S1)
DOI: 10.1177/1071100717S00031
©The Author(s) 2017
AOFAS Annual Meeting 2017
35S
Table of Contents for the Digital Edition of Foot & Ankle International - 2017 FAI Supplement
TOC 1
TOC 2
TOC 3
TOC Page 4 + Verso
Editorial Board
President's Introduction
AOFAS Annual Meeting Abstracts 2017
AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - CT1
Foot & Ankle International - 2017 FAI Supplement - CT2
Foot & Ankle International - 2017 FAI Supplement - Cover1
Foot & Ankle International - 2017 FAI Supplement - Cover2
Foot & Ankle International - 2017 FAI Supplement - i
Foot & Ankle International - 2017 FAI Supplement - TOC 1
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Foot & Ankle International - 2017 FAI Supplement - TOC 2
Foot & Ankle International - 2017 FAI Supplement - 1A
Foot & Ankle International - 2017 FAI Supplement - 1B
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Foot & Ankle International - 2017 FAI Supplement - TOC 3
Foot & Ankle International - 2017 FAI Supplement - vii
Foot & Ankle International - 2017 FAI Supplement - TOC Page 4 + Verso
Foot & Ankle International - 2017 FAI Supplement - Editorial Board
Foot & Ankle International - 2017 FAI Supplement - x
Foot & Ankle International - 2017 FAI Supplement - President's Introduction
Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - 3S
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Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - 48S
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Foot & Ankle International - 2017 FAI Supplement - Cover3
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