BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2018, Poster

Tibiotalar arthrodesis - Is union rate and time to union influenced by preoperative deformity, patient related factors or open/arthroscopic procedure and what do patients perceive?

L. Thomson, R. Issac, K. Khan, A. Best, P. Allen, J. Mangwani

¹University Hospitals of Leicester, Leicester, United Kingdom

Background: Arthroscopic ankle arthrodesis(AAA) is an established procedure for treatment of end stage ankle arthritis. It has the potential advantage of faster time to union, lower morbidity ,faster rehabilitation, less blood loss and shorter hospital stay when compared to open fusion.The purpose is to analyse if union is affected by deformity, patient related factors and measure PROMS.

Materials and methods: Between January 2005 and December 2015, 124 Ankle Arthrodesis (OAA-27; AAA-97) procedures were performed by fellowship trained foot and ankle surgeons in a single institution. Based on preoperative deformity, (AAA- 28 degree valgus to 26 degrees varus; OAA- 41 degree valgus to 28 degree varus) they were subdivided into 2 groups based upon deformity more than 15 degrees. Union rates, time to union, length of stay, PROMS (EuroQol pain and Johnson´s satisfaction scale).

Results: Mean age of patients was 60years (Range-20-82 years)( Male:Female-92:32).Overall fusion rate was 93% in AAA and 89% in OAA (p=0.4 ).On sub group analysis of the influence of preoperative deformity, there was no difference in union rates of AAA versus OAA. Average time to union was 13.7 in AAA and 12.5 weeks in OAA (p=0.3). Average hospital stay was 2.6 days in AAA and 3.8 days in OAA (p=0.003) 40% had no pain on EuroQol and 32% were completely satisfied with their procedure.

Conclusion: Although both AAA and OAA showed good union rates,hospital stay was significantly shorter in AAA. A larger deformity did not adversely affect union rates in AAA. 40% of patients reported a good outcome for pain relief. Lifestyle risk factors did not have cumulative effect on union. Our study shows that AAA is reproducible method of treating end stage arthritis of tibiotalar joint irrespective of preoperative deformity and patient related factors, however PROMs show there is still areas for improvement, up to 5 years post procedure.

Print

Tags: Ankle Arthrodesis

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts