Sequential bilateral total ankle replacements: No difference in patient-reported outcomes between the first and...

Area of Science:

• Orthopedic Surgery
• Biomedical Engineering

Background:

• Total ankle replacement (TAR) is a standard treatment for severe ankle arthritis.
• Limited data exists on outcomes for sequential bilateral TAR.
• This study addresses the gap in understanding outcomes between the first and second TAR in bilateral cases.

Purpose of the Study:

• To compare functional outcomes and patient satisfaction between the first and second ankles in sequential bilateral total ankle replacement.
• To evaluate complications associated with sequential bilateral total ankle replacement.
• To provide data for improved patient counseling and expectation management.

Main Methods:

• Retrospective study design.
• Patients completed follow-up questionnaires: Manchester-Oxford Foot Questionnaire (MOXFQ), EQ-5D-3 L, and satisfaction assessment.
• Electronic medical records reviewed for demographics, procedural details, and complications.

Main Results:

• Eighteen patients (out of 20) completed follow-up at a mean of four years post-surgery.
• No statistically significant differences were observed in MOXFQ scores, EQ-5D-3 L scores, or patient satisfaction between the first and second ankles.
• Eleven complications were recorded across the cohort.

Conclusions:

• Sequential bilateral total ankle replacement yields excellent outcomes.
• There is no discernible difference in outcomes between the first and second operated ankles.
• Findings support current practices and inform future patient counseling regarding sequential bilateral ankle replacement.