Subsidence of total ankle component associated with deterioration of an ankle scale in non-inflammatory arthritis but not in rheumatoid arthritis.

Abstract:

OBJECTIVES:Modern three-component total ankle arthroplasty (TAA) has favorable clinical results and survival rates. However, radiographic deterioration and worsening of clinical symptoms may occur in patients with rheumatoid arthritis (RA) or non-inflammatory arthritis (NA). The associations between outcomes and clinical and radiological factors are not clear. We compared midterm clinical and radiographic outcomes after TAA between patients with RA and those with NA. METHODS:Twenty-six TAAs were performed using a three-component prosthesis, the FINE Total Ankle System during the study period. Fourteen TAAs with 11 RA patients undergoing primary TAA were compared with twelve TAAs with 12 NA patients. Clinical and radiographic outcomes were evaluated before and after operation, and at the final follow-up. RESULTS:The Japanese Society for Surgery of the Foot (JSSF) scale improved significantly following TAA in both groups (p = 0.0039 and 0.0156, respectively). Tibial subsidence, talar subsidence and age were significantly associated with postoperative JSSF score only in the NA group (p = 0.0027, 0.0017 and p < 0.0001, respectively). Stepwise regression analysis showed that talar subsidence was an independent predictor of a worse JSSF score in the NA group (F = 10.3). CONCLUSIONS:The final clinical outcome was negatively influenced by talar subsidence in patients with NA, but not in those with RA.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Iwata T,Ito H,Furu M,Ishikawa M,Azukizawa M,Yoshitomi H,Fujii T,Akiyama H,Matsuda S

doi

10.1080/14397595.2016.1220049

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

417-424

issue

3

eissn

1439-7595

issn

1439-7609

journal_volume

27

pub_type

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