PMID- 29325423 OWN - NLM STAT- MEDLINE DCOM- 20190109 LR - 20221207 IS - 1938-7636 (Electronic) IS - 1938-6400 (Linking) VI - 11 IP - 5 DP - 2018 Oct TI - Early Functional, Radiological Outcomes and Satisfaction Rates of Total Ankle Arthroplasty in an Asian Population. PG - 425-432 LID - 10.1177/1938640017750252 [doi] AB - BACKGROUND: Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. METHODS: Patients who underwent primary total ankle arthroplasty from 2007 to 2013 were recruited. Outcomes evaluated were the AOFAS Ankle-Hindfoot Score (AHS), Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)questionnaire. Outcome scores were collected prospectively up to 2 years. Patient satisfaction was evaluated on a 6-point scale based on North American Spine Society Low Back Pain Instrument and classified as satisfied or unsatisfied. RESULTS: Forty-one patients underwent primary total ankle arthroplasty. All patients experienced improvements in AHS, VAS, and Mental Component Summary score of the SF-36 at both 6-month and 2-year postoperative interval. The mean AHS score improved from 35 +/- 19 points preoperatively to 64 +/- 24 at 6 months (P<.001) and 72 +/- 26 at 24 months (P <.001). VAS scores improved from 7 +/- 2 preoperatively to 3 +/- 3 (P < .001) at 6 and 24 months. The Physical Component Summary (PCS) of the SF-36 has an established minimum clinically important difference (MCID) of 5. The mean improvement in PCS in our cohort met this MCID for the PCS; 63% and 71% of patients were satisfied with the procedure at 6 months and 2 years postoperatively, respectively. Revision rate in this series was 9.7%. CONCLUSION: Total ankle arthroplasty has good patient satisfaction rates, with favorable early clinical outcome in Asian patients. LEVELS OF EVIDENCE: Therapeutic, Level II. FAU - Tan, Shi Ming AU - Tan SM AD - Orthopaedic Surgery, Singapore General Hospital, Singapore. FAU - Bin Abd Razak, Hamid Rahmatullah AU - Bin Abd Razak HR AD - Orthopaedic Surgery, Singapore General Hospital, Singapore. FAU - Singh Rikhraj, Inderjeet AU - Singh Rikhraj I AD - Orthopaedic Surgery, Singapore General Hospital, Singapore. LA - eng PT - Journal Article DEP - 20180112 PL - United States TA - Foot Ankle Spec JT - Foot & ankle specialist JID - 101473598 SB - IM MH - Aged MH - Ankle Joint/diagnostic imaging/surgery MH - Arthroplasty, Replacement, Ankle/*methods MH - Asian People/statistics & numerical data MH - Cohort Studies MH - Female MH - Humans MH - Joint Prosthesis MH - Male MH - Middle Aged MH - Osteoarthritis/diagnostic imaging/ethnology/*surgery MH - *Pain Measurement MH - Patient Satisfaction/*ethnology/statistics & numerical data MH - Postoperative Care/methods MH - Prosthesis Design MH - Radiography/methods MH - Range of Motion, Articular/*physiology MH - Recovery of Function/physiology MH - *Registries MH - Retrospective Studies MH - Time Factors OTO - NOTNLM OT - Asian OT - MCID OT - outcomes OT - revision rate OT - satisfaction rates OT - total ankle arthroplasty EDAT- 2018/01/13 06:00 MHDA- 2019/01/10 06:00 CRDT- 2018/01/13 06:00 PHST- 2018/01/13 06:00 [pubmed] PHST- 2019/01/10 06:00 [medline] PHST- 2018/01/13 06:00 [entrez] AID - 10.1177/1938640017750252 [doi] PST - ppublish SO - Foot Ankle Spec. 2018 Oct;11(5):425-432. doi: 10.1177/1938640017750252. Epub 2018 Jan 12.