抄録
Background: While ankle arthrodesis is a common treatment for severe ankle osteoarthritis, performing bilateral ankle arthrodesis is controversial because of associated problems, such as severe gait abnormality and bilateral loss of talocrural joint motion. Furthermore, few reports exist regarding the detailed outcomes of bilateral ankle arthrodesis. Therefore, we aimed to compare the outcomes of bilateral ankle arthrodesis with those of unilateral ankle arthrodesis, using both subjective and objective assessments. Methods: The data from 20 patients (10 each in the bilateral and unilateral groups), who underwent arthrodesis between 2005 and 2015, were retrospectively reviewed. The minimum follow-up duration was 2 years. Radiographic outcomes were assessed using radiographs and computed tomography. Clinical outcomes were assessed using the Japanese Society for Surgery of the Foot (JSSF) scale and the Self-Administered Foot Evaluation Questionnaire (SAFE-Q). Results: With the numbers available, no significant group differences were observed for any of the patient characteristics or postoperative range of motion. Mean JSSF scale scores significantly improved in both groups (P <.001); however, scores on the SAFE-Q subscale for “social functioning” were significantly lower in the bilateral group compared to the unilateral group (P =.049). Conclusions: Within the limitations of the current study design, bilateral ankle arthrodesis did not appear to be inferior to unilateral ankle arthrodesis, with the possible exception of social functioning ability. Thus, bilateral ankle arthrodesis can be considered a viable treatment option. Level of Evidence: Level III, retrospective cohort study.
| 元の言語 | English |
|---|---|
| ジャーナル | Foot and Ankle International |
| DOI | |
| 出版物ステータス | Accepted/In press - 2018 1 1 |
| 外部発表 | Yes |
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ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
これを引用
Outcomes of Bilateral vs Unilateral Ankle Arthrodesis. / Maenohara, Yuji; Taniguchi, Akira; Tomiwa, Kiyonori; Tsuboyama, Daisuke; Kurokawa, Hiroaki; Kumai, Tsukasa; Tanaka, Sakae; Tanaka, Yasuhito.
：: Foot and Ankle International, 01.01.2018.研究成果: Article
}
TY - JOUR
T1 - Outcomes of Bilateral vs Unilateral Ankle Arthrodesis
AU - Maenohara, Yuji
AU - Taniguchi, Akira
AU - Tomiwa, Kiyonori
AU - Tsuboyama, Daisuke
AU - Kurokawa, Hiroaki
AU - Kumai, Tsukasa
AU - Tanaka, Sakae
AU - Tanaka, Yasuhito
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Background: While ankle arthrodesis is a common treatment for severe ankle osteoarthritis, performing bilateral ankle arthrodesis is controversial because of associated problems, such as severe gait abnormality and bilateral loss of talocrural joint motion. Furthermore, few reports exist regarding the detailed outcomes of bilateral ankle arthrodesis. Therefore, we aimed to compare the outcomes of bilateral ankle arthrodesis with those of unilateral ankle arthrodesis, using both subjective and objective assessments. Methods: The data from 20 patients (10 each in the bilateral and unilateral groups), who underwent arthrodesis between 2005 and 2015, were retrospectively reviewed. The minimum follow-up duration was 2 years. Radiographic outcomes were assessed using radiographs and computed tomography. Clinical outcomes were assessed using the Japanese Society for Surgery of the Foot (JSSF) scale and the Self-Administered Foot Evaluation Questionnaire (SAFE-Q). Results: With the numbers available, no significant group differences were observed for any of the patient characteristics or postoperative range of motion. Mean JSSF scale scores significantly improved in both groups (P <.001); however, scores on the SAFE-Q subscale for “social functioning” were significantly lower in the bilateral group compared to the unilateral group (P =.049). Conclusions: Within the limitations of the current study design, bilateral ankle arthrodesis did not appear to be inferior to unilateral ankle arthrodesis, with the possible exception of social functioning ability. Thus, bilateral ankle arthrodesis can be considered a viable treatment option. Level of Evidence: Level III, retrospective cohort study.
AB - Background: While ankle arthrodesis is a common treatment for severe ankle osteoarthritis, performing bilateral ankle arthrodesis is controversial because of associated problems, such as severe gait abnormality and bilateral loss of talocrural joint motion. Furthermore, few reports exist regarding the detailed outcomes of bilateral ankle arthrodesis. Therefore, we aimed to compare the outcomes of bilateral ankle arthrodesis with those of unilateral ankle arthrodesis, using both subjective and objective assessments. Methods: The data from 20 patients (10 each in the bilateral and unilateral groups), who underwent arthrodesis between 2005 and 2015, were retrospectively reviewed. The minimum follow-up duration was 2 years. Radiographic outcomes were assessed using radiographs and computed tomography. Clinical outcomes were assessed using the Japanese Society for Surgery of the Foot (JSSF) scale and the Self-Administered Foot Evaluation Questionnaire (SAFE-Q). Results: With the numbers available, no significant group differences were observed for any of the patient characteristics or postoperative range of motion. Mean JSSF scale scores significantly improved in both groups (P <.001); however, scores on the SAFE-Q subscale for “social functioning” were significantly lower in the bilateral group compared to the unilateral group (P =.049). Conclusions: Within the limitations of the current study design, bilateral ankle arthrodesis did not appear to be inferior to unilateral ankle arthrodesis, with the possible exception of social functioning ability. Thus, bilateral ankle arthrodesis can be considered a viable treatment option. Level of Evidence: Level III, retrospective cohort study.
KW - ankle arthrodesis
KW - ankle osteoarthritis
KW - JSSF scale
KW - SAFE-Q
UR - http://www.scopus.com/inward/record.url?scp=85044041853&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044041853&partnerID=8YFLogxK
U2 - 10.1177/1071100717749505
DO - 10.1177/1071100717749505
M3 - Article
AN - SCOPUS:85044041853
JO - Foot and Ankle International
JF - Foot and Ankle International
SN - 1071-1007
ER -