Short-Term Outcomes of Primary Total Ankle Arthroplasty in Octogenarians: A National Database Analysis.

Aged Aged, 80 and over Ankle Arthroplasty, Replacement, Ankle / adverse effects Databases, Factual Humans Octogenarians Postoperative Complications / epidemiology Retrospective Studies Risk Factors Treatment Outcome
arthritis octogenarian outcomes total ankle arthroplasty

Journal

Foot & ankle specialist
ISSN: 1938-7636
Titre abrégé: Foot Ankle Spec
Pays: United States
ID NLM: 101473598

Informations de publication

Date de publication:
Aug 2022
Historique:
pubmed: 2 10 2020
medline: 3 8 2022
entrez: 1 10 2020
Statut: ppublish

Résumé

Total ankle arthroplasty (TAA) is an increasingly popular option for end-stage ankle arthritis. Americans over the age of 80 years grew to 16.7 million in 2010, but there are scarce data assessing the outcomes of octogenarians undergoing TAA. This study evaluated (1) perioperative factors, (2) 30-day postoperative complications compared to a nonoctogenarian cohort, and (3) independent risk factors for adverse outcomes. A national database registry was queried for patients who had undergone primary TAA. This yielded 1113 patients, under (n = 1059) and over (n = 54) age 80 years. Demographics and perioperative data were compared using Fisher's exact, χ The octogenarian cohort had longer in-hospital length of stay (1.9 vs 2.5 days, Although the elderly population may carry inherent risk factors, octogenarians do not present an increased risk of short-term complications following TAA. Therapeutic, Level III: Retrospective cohort study.

Sections du résumé

BACKGROUND BACKGROUND
Total ankle arthroplasty (TAA) is an increasingly popular option for end-stage ankle arthritis. Americans over the age of 80 years grew to 16.7 million in 2010, but there are scarce data assessing the outcomes of octogenarians undergoing TAA. This study evaluated (1) perioperative factors, (2) 30-day postoperative complications compared to a nonoctogenarian cohort, and (3) independent risk factors for adverse outcomes.
METHODS METHODS
A national database registry was queried for patients who had undergone primary TAA. This yielded 1113 patients, under (n = 1059) and over (n = 54) age 80 years. Demographics and perioperative data were compared using Fisher's exact, χ
RESULTS RESULTS
The octogenarian cohort had longer in-hospital length of stay (1.9 vs 2.5 days,
CONCLUSION CONCLUSIONS
Although the elderly population may carry inherent risk factors, octogenarians do not present an increased risk of short-term complications following TAA.
LEVELS OF EVIDENCE METHODS
Therapeutic, Level III: Retrospective cohort study.

Identifiants

DOI: 10.1177/1938640020960546 PMID: 33000649
pubmed: 33000649
doi: 10.1177/1938640020960546
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

346-353

Auteurs

Matthew Partan (M)

Department of Orthopaedic Surgery, Northwell Health Plainview Hospital, Plainview, New York (MP, NF, CI, PM).
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, New York (CI).
Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York (AB).
Donald and Barbara Zucker School of Medicine at Hofstra, Hempstead, New York (AB).

Nicholas Frane (N)

Department of Orthopaedic Surgery, Northwell Health Plainview Hospital, Plainview, New York (MP, NF, CI, PM).
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, New York (CI).
Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York (AB).
Donald and Barbara Zucker School of Medicine at Hofstra, Hempstead, New York (AB).

Cesar Iturriaga (C)

Department of Orthopaedic Surgery, Northwell Health Plainview Hospital, Plainview, New York (MP, NF, CI, PM).
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, New York (CI).
Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York (AB).
Donald and Barbara Zucker School of Medicine at Hofstra, Hempstead, New York (AB).
ORCID: 0000-0002-6263-5410

Prashant Matai (P)

Department of Orthopaedic Surgery, Northwell Health Plainview Hospital, Plainview, New York (MP, NF, CI, PM).
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, New York (CI).
Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York (AB).
Donald and Barbara Zucker School of Medicine at Hofstra, Hempstead, New York (AB).
ORCID: 0000-0001-8024-7748

Adam Bitterman (A)

Department of Orthopaedic Surgery, Northwell Health Plainview Hospital, Plainview, New York (MP, NF, CI, PM).
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, New York (CI).
Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York (AB).
Donald and Barbara Zucker School of Medicine at Hofstra, Hempstead, New York (AB).

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Sujet âgé de 80 ans ou plus › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Régions du corps › Membres › Membre inférieur › Cheville › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Procédures de chirurgie opératoire › Implantation de prothèse › Arthroplastie prothétique › Arthroplastie de remplacement de la cheville › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Sciences de l'information › Mémorisation et recherche des informations › Bases de données comme sujet › Bases de données factuelles › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Sujet âgé de 80 ans ou plus › Octogénaires › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Short-Term Outcomes of Primary Total Ankle...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Short-Term Outcomes of Primary Total Ankle...