Long-term Consequences of Total Ankle Replacement vs Ankle Fusion in England: A 25-Year National Population Study of 41 000 patients.

ABSTRACT:

Background

Definitive and successful treatment of end-stage ankle arthritis is either total ankle replacement (TAR) or ankle fusion (AF). The long-term implications of both treatments remain unclear. AF may predispose patients to subsequent hindfoot joint fusion, and TAR potentially risks high rates of complex revision surgery. The study investigates the risks of further surgery, adjacent joint surgery, and rare but serious complications following AF and TAR.

Methods

An England population cohort study was performed using the Hospital Episode Statistics database, linked to Office of National Statistics (ONS) mortality data (1998-2023). The primary outcome was Kaplan-Meier curve analysis of revision surgery-free survival of TAR vs AF. Secondary outcome measures were the rates

SUBMITTER: Hennessy C 

PROVIDER: S-EPMC12754028 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature