DOS Kongressen 2014 ·
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Clinical outcome in 308 total ankle replacement.
A 1-14 years follow-up.
Kristian Kibak Nielsen, Niels Christian Jensen, Claus Sundstrup, Frank Linde
Section of foot and Ankle Surgery., University Hospital of Aarhus. Aarhus.
Denmark.
Background:
As total ankle replacement (TAR) becomes a generally accepted
treatment for degenerative ankle disease, it is important to know the clinical
outcome after TAR.
Purpose / Aim of Study:
The aim of this study is to describe the clinical out-
come in STAR TAR
Materials and Methods:
This is a single centre prospective study of 308 STAR
TAR, performed from 1998 to 1. June 2012. Two hundred and thirty one pa-
tients with osteoarthrosis (OA) and 77 with rheumatoid arthritis (RA). There
was 197 TAR in OA patients and 56 TAR in RA patients who had the primary TAR
in place and a complete standard scoring at follow up. The AOFAS hind foot score
and retrospective VAS-score for pain was used for evaluation
Findings / Results:
In the RA group the preoperativ AOFAS hind foot score
changed from 31 to a postoperative score of 73. In the OA group the score
changed from preoperative 49, to a postoperative score of 75. All RA patients
and 89% of the OA patients had a significant improvement in VAS pain score.
Conclusions:
Both RA and OA patients improves after TAR in both AOFAS hind
foot score and VAS pain score.
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