Abstract:
BACKGROUND:Total hip and knee arthroplasty (THA and TKA) are accessible to patients with end-stage hip and knee arthritis in most health care systems. The availability of total ankle arthroplasty (TAA) to patients with end-stage ankle arthritis is often restricted because of prosthesis cost. Ankle fusion (AF) is often offered as the only alternative. Patients should have equal access to procedures that are equivalent in total cost. We compared total costs of TAA, AF, THA, and TKA for similar cohorts in a government-funded teaching hospital. METHODS:A subset of 13 TAA and 13 AF patients were selected from the Canadian Orthopaedic Foot and Ankle Society Prospective Ankle Reconstruction Database, and 13 THA and 13 TKA patients were randomly selected from the Canadian Joint Replacement Registry. Total cost was estimated from operating room time, hospital stay, surgeon billing, and equipment used. RESULTS:Mean total cost associated with TAA was $13,500 ± 1000 and was the same as THA ($14,500 ± 1500) and TKA ($12,500 ± 1000). Mean total cost associated with AF was significantly less at $5500 ± 500. Mean operating room time was longer, but mean hospital stay was shorter for the ankle procedures compared with THA and TKA. CONCLUSION:All arthroplasties had similar total costs. Total ankle arthroplasty should not be denied based on prosthetic cost alone, as total procedure cost is equivalent to THA and TKA. We believe ankle fusion is a less expensive and preferable alternative for some patient groups.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Younger AS,MacLean S,Daniels TR,Penner MJ,Wing KJ,Dunbar M,Glazebrook Mdoi
10.1177/1071100714558844subject
Has Abstractpub_date
2015-03-01 00:00:00pages
253-7issue
3eissn
1071-1007issn
1944-7876pii
1071100714558844journal_volume
36pub_type
杂志文章abstract:BACKGROUND:Conventional bacterial cultures frequently fail to identify the dominant pathogen in polymicrobial foot infections, in which Staphylococcus aureus is the most common infecting pathogen. Previous work has shown that species-specific immunoassays may be able to identify the main pathogen in musculoskeletal inf...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720965136
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:The flexor to extensor transfer of the flexor digitorum longus (FDL) tendon has been a relatively common operative procedure for the treatment of a flexible hammer toe deformity and chronic metatarsophalangeal (MTP) joint dislocation. A possible complication of using the tunnel technique rather than the tend...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714565927
更新日期:2015-05-01 00:00:00
abstract::Numerous reconstructive procedures are performed to correct both ankle and subtalar instability after trauma although the precise pathology which results in this chronic instability and pain is not yet known. This study examined the role of the calcaneofibular (CLFL) and cervical ligaments (CRVL) during physiologic lo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300608
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Patients with diabetes who sustain an ankle fracture are at increased risk for complications including higher rates of in hospital mortality, in-hospital postoperative complications, length of stay and non-routine discharges. The purpose of this study was to retrospectively compare the complications associat...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0120
更新日期:2011-02-01 00:00:00
abstract::A sprain to the tibial-fibular syndesmosis often results in prolonged rehabilitation or surgical intervention before recovery occurs. This paper documents gait recovery both before and after surgery for a syndesmosis sprain. Ground reaction force (GRF) data were available before injury and before surgery. Data were al...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601014
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:The etiology of navicular stress fractures is a topic of interest due to the implications in high-level athletes. Previous studies suggest an avascular zone in the central one-third of the bone as a potential causative factor. This study investigated the extraosseous and intraosseous arterial anatomy of the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0857
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Polydactyly of the fifth toe is the most common congenital malformation of the forefoot, and no consensus has been reached as to which toe component should be excised or by which surgical technique. The purpose of this study was to evaluate the results of the operative treatment of postaxial polydactyly and ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713477608
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:The literature on the outcome of sport-related ankle fractures has focused on operatively managed fractures, despite a large proportion being treated nonoperatively. We describe the epidemiology, management, and outcome of acute sport-related ankle fractures in a UK population. METHODS:All sport-related ank...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714546548
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:In Charcot-Marie-Tooth (CMT) disease, selective weakness of the tibialis anterior muscle often leads to recruitment of the long toe extensors as secondary dorsiflexors, with subsequent clawing of the toes. Extensor hallucis longus (EHL) and extensor digitorum longus (EDL) tendon transfers offer the ability t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719901119
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Recurrent pain and deformity following forefoot surgery can cause significant patient disability. In patients with rheumatoid arthritis, first metatarsophalangeal (MTP) joint arthrodesis with lesser metatarsal head resections-termed the rheumatoid forefoot reconstruction-has been shown to be a reliable opera...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717696253
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Over the past decade, total ankle arthroplasty (TAA) has become a mainstay in the treatment of end-stage ankle arthritis. Currently in its fourth generation, the Scandanavian Total Ankle Replacement (STAR) is the only 3-piece mobile bearing ankle prosthesis available in the United States. Our current study r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717738747
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Ankle disorders in patients with rheumatoid arthritis (RA) reduce their quality of life and activities of daily living. The aim of this study was to evaluate the midterm clinical and radiographic outcomes of TAA in patients with RA. METHODS:This retrospective study included patients with a minimum follow-up...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719851469
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Research into gait characteristics has led to the creation of experimental gait simulators. The aim of this work was the development of a Contact Gait Simulation System (CGSS) to generate realistic plantar pressures for the contact phase of gait. The simulator seeks to create muscle loads which guide the foo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0066
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:More than 40 open procedures have been described for ankle arthrodesis, most with high complication rates. Since its description in 1983, arthroscopic ankle arthrodesis has become a viable option in selected patients. With one of the largest series in the literature, the purpose of the paper was to analyze t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600402
更新日期:2005-04-01 00:00:00
abstract::The purpose of this study was to evaluate the biomechanical properties of commonly used autogenous transplants for the surgical stabilization of chronic lateral ankle instability. We dissected the transplants (peroneus longus, peroneus brevis, Achilles and plantaris tendon, periosteal flap, fascia, corium) and the ant...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300714
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture/...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714552077
更新日期:2014-12-01 00:00:00
abstract::There are few reports in the literature documenting the efficacy of isolated arthrodesis for inflammatory arthritis of the talonavicular joint. Accordingly, we reviewed a single surgeon's experience with this procedure in twenty consecutive cases from this patient population. A technique using indirect joint distracti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100406
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine whether low-fidelity arthroscopic simulation training improves basic ankle arthroscopy performance and efficiency among orthopedic trainees. METHODS:Twenty-nine orthopedic surgery trainees with varying levels of experience in ankle arthroscopy were randomized into ...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.1177/1071100715576369
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:The flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendons are commonly used for tendon transfer in reconstructive foot and ankle procedures. Some patients experience great toe weakness and loss of push-off strength. The objective of this biomechanical study was to quantify plantarflexion for...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719875229
更新日期:2020-01-01 00:00:00
abstract::Factors making runners more susceptible to injuries were identified with a comparative study between a healthy control group (216) and runners (66) suffering from overuse pathology. On static and dynamic footprint, the angles alpha0 (static) and alpha1 (dynamic) between heel and forefoot have been measured. Analysis s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900106
更新日期:1998-01-01 00:00:00
abstract::A retrospective review was performed on industrial patients who sustained calcaneal fractures within the State of Idaho during the years 1992 to 1994, and these patients were insured by the Idaho State Insurance Fund. Of 48 calcaneal fractures that occurred during this period, 18 were non-displaced extra-articular fra...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101102
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to assist surgeons treating calcaneal fractures in choosing the most predictive fracture classification and clinical outcome tool. MATERIALS AND METHODS:For 152 patients (189 calcaneal fractures; average followup, 9.9 years), all fractures were classified in accordance with the...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0229
更新日期:2009-03-01 00:00:00
abstract::We hypothesized that the posterior-to-anterior (PA) calcaneal interlocking screw of the Biomet Ankle Arthrodesis Nail would increase rotational stability secondary to increased bone purchase compared with the standard lateral-to-medial (transverse) screw. Each of 10 fresh human cadaver lower limbs (five matched pairs)...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200908
更新日期:2001-09-01 00:00:00
abstract:RECOMMENDATION:Transfer of synovial aspirate in blood culture bottles, obtaining deep biopsy of tissues and bone, obtaining multiple samples, increasing incubation period of cultures, and the use of molecular techniques for culture negative cases are some of the strategies that can help improve the ability to isolate t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719859887
更新日期:2019-07-01 00:00:00
abstract::A prospective randomized controlled trial comparing open and percutaneous repair of closed ruptured Achilles tendons was performed over a period of 30 months. Sixty-six patients from seven district general hospitals were entered into the study with 33 patients randomized into each group. A modification of the techniqu...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110070102200705
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:High plantar pressures are associated with the development of foot ulcers in people with diabetic neuropathy. The effect of terrain on plantar pressures during walking has not been fully explored. METHODS:Twenty 23- to 40-year-old subjects with no known musculoskeletal pathology walked across three terrains...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502601012
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:We aimed to define reference lines on standard lateral ankle radiographs that could be used intraoperatively to minimize iatrogenic nerve injury risk in medial displacement calcaneal osteotomy. METHODS:Forty cadaveric specimens were used. In 20 specimens, the sural, medial plantar (MP), and lateral plantar ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715595696
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:The superficial peroneal nerve (SPN) and its branches are at risk during surgical exposures. Our study aimed to demonstrate the distribution of the SPN on the dorsum of the foot to aid in surgical procedures close to this nerve. METHODS:The SPN was dissected in 30 cadaver lower limbs (13 male and two female...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700609
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Lisfranc joint injuries are often misdiagnosed, leading to significant morbidity. Methods for anatomic reduction of the tarsometatarsal joint include closed reduction with casting or surgical stabilization with either Kirschner wires and/or cortical screw fixation. Controversy exists as to which fixation tec...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500515
更新日期:2004-05-01 00:00:00
abstract::Damage to the dorsomedial cutaneous nerve of the foot, which innervates the medial hallux, may occur with crush injury or iatrogenically with bunion surgery. Severe neuritic pain after bunion surgery may alert the surgeon that this small nerve has been damaged. The term "dorsomedial cutaneous nerve syndrome" is sugges...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200305
更新日期:2001-03-01 00:00:00