Epidemiology of Total Ankle Arthroplasty: Trends in New York State

• DOI: 10.3928/01477447-20160427-12
• Publication Date: 2016-05-02T15:45:24Z
• Authors: Christine M. Seaw...; Huong T. Do; Ettore Vulcano; Sriniwasan B. Mani; Stephen L. Lyman; Scott J. Ellis
• Keywords: Adult; Aged, 80 and over; Male; Reoperation; Databases, Factual; Incidence; New York; Middle Aged; 3. Good health; Arthroplasty, Replacement, Ankle; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Osteoarthritis; Humans; Female; Registries; Ankle Joint; Aged

The rate of total ankle arthroplasty (TAA) is increasing in the United States as its popularity and indications expand. There currently no national joint registry available to monitor outcomes, few studies have addressed challenges faced with TAA. purpose this study was evaluate incidence, complications, survival rates associated TAA using a large statewide administrative discharge database. Individuals who underwent primary from 1997 2010 were identified Statewide Planning Research Cooperative System database New York State Department Health. age, sex, comorbidities, state residence, diagnosis, readmissions within 90 days analyzed for patients an ICD-9-CM procedure code 81.56 (TAA). Failure implant defined revision, tibiotalar arthrodesis, amputation, or removal. During 14-year period, 420 444 TAAs (mean patient age 61 years, 59% women, mean Charlson-Deyo comorbidity score 0.45, 86% residents). diagnosis 37.4% osteoarthritis, 34.3% traumatic arthritis, 15.5% rheumatoid arthritis. Surgery failure only younger (56.5 vs 62 P =.005). subsequent procedures following performed 13.8%. incidence steadily increasing. overall better than reported other registries, but it not yet comparable those hip knee replacements. [ Orthopedics. 2016; 39(3):170–176.]