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- W4387122215 abstract "Ankle arthrodesis and total ankle arthroplasty are both well-accepted surgical treatment options for end-stage ankle arthrosis. However, total ankle arthroplasty has gained popularity as the survivability of implants is improving. It is understood that there is loss of bone height following tibiotalocalcaneal arthrodesis, but to our knowledge, this has not been investigated in the setting of total ankle arthroplasty. A retrospective radiographic review was conducted over a 5-year period. We investigated all patients who underwent a tibiotalocalcaneal arthrodesis or total ankle arthroplasty for treatment of ankle arthritis by a single fellowship-trained orthopaedic surgeon. The anterior and posterior height measurements were measured on preoperative and postoperative lateral radiographs. Differences between preoperative and postoperative heights were analyzed through a series of analyses of covariance. One-hundred thirty three patients and 143 operative extremities were included: 71 operative extremities in the tibiotalocalcaneal arthrodesis group (mean age 55.5 +/- 13.3 years, BMI 32.2 +/- 7.9) and 72 in the total ankle arthroplasty group (mean age 65.4 +/- 9.5, years, BMI 30.7 +/- 6.4). Statistical analysis demonstrated a loss of height in the tibiotalocalcaneal arthrodesis group, and an increased anterior and posterior height in the total ankle arthroplasty group. However, when comparing the arthroplasty group and arthrodesis group only the anterior height measurement reached statistical significance when stratified by gender (P< 0.001). The potential change in height is an important factor to consider during surgical planning as a limb length discrepancy may result." @default.
- W4387122215 created "2023-09-29" @default.
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- W4387122215 date "2023-09-01" @default.
- W4387122215 modified "2023-10-02" @default.
- W4387122215 title "Comparison of Loss of Bone Height Following Total Ankle Arthroplasty Versus Tibiotalocalcaneal Arthrodesis" @default.
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- W4387122215 doi "https://doi.org/10.1053/j.jfas.2023.09.010" @default.
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