Comparison of health-related quality of life between patients with end-stage ankle and hip arthrosis

ArticleinThe Journal of Bone and Joint Surgery 90(3):499-505 · April 2008with15 Reads
DOI: 10.2106/JBJS.F.01299 · Source: PubMed
Abstract
End-stage ankle arthrosis is one of the leading causes of chronic disability in North America. Information on this condition is limited. The amount of pain and the reduction in health-related quality of life and function have not been quantified with use of universal outcome measures. The purpose of the present study was to compare the extent of pain, loss of function, and health-related quality of life in two cohorts of patients waiting for the surgical treatment of end-stage ankle or hip arthrosis. One hundred and thirty patients with end-stage ankle arthrosis who were awaiting total ankle arthroplasty or ankle arthrodesis were recruited through a Canadian Orthopaedic Foot and Ankle Society multicenter study. All patients prospectively completed the Short Form-36 (SF-36) generic outcome instrument. This cohort was compared with a similar cohort of 130 patients with end-stage hip arthrosis, randomly selected from an existing prospective joint replacement database, who had completed an SF-36 questionnaire prospectively from 2000 to 2005. In both groups, the scores for all SF-36 subscales were approximately two standard deviations below normal population scores. Patients with ankle arthrosis had significantly worse mental component summary scores (p < 0.05), role-physical scores (p < 0.05), and general health scores (p < 0.05). Patients with hip arthrosis reported significantly lower physical function scores (p < 0.05), although the SF-36 physical component summary score was not significantly different between the two groups. The SF-36 physical component summary, bodily pain, vitality, role-emotional, social functioning, and mental health subscale scores were equally affected in both cohorts. The mental and physical disability associated with end-stage ankle arthrosis is at least as severe as that associated with end-stage hip arthrosis.
    • "Symptomatic ankle osteoarthritis (OA) is a condition that causes major disability, has a similar impact on quality of life to that of end stage cardiac failure [1] and end stage hip OA [2]. The current demand incidence of ankle OA has been estimated to be 47.7 per 100,000 in the United Kingdom [3]. "
    [Show abstract] [Hide abstract] ABSTRACT: The optimum way to manage patients with bilateral ankle arthritis (AA) is unclear. This review was performed to report the midterm satisfaction and functional outcome of a series of patients who have undergone bilateral staged ankle arthrodesis. Eight patients, median age 68.5 yrs (range 59-80) were followed-up for a median of 58.5 months (range 24-100). All fusions united in a median time of 12.8 weeks (range 10-19) Their median AOFAS hindfoot score was 79.5 (range 71-90). Six patients (75%) were very satisfied, one was satisfied, and the other neither satisfied nor dissatisfied. Two patients developed symptomatic subtalar arthritis requiring subtalar fusion. This is the first study to report the outcome of bilateral AA independent to that of unilateral AA. Bilateral AA appears to give patients a good functional result with high patient reported satisfaction into the medium term. Copyright © 2014 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
    Full-text · Article · Sep 2015
    • "End-stage ankle arthritis is a debilitating condition that may lead to severe pain, functional disability, and limb deformity [3]. Glazebrook et al. [10] reported that the mental and physical disabilities caused by end-stage ankle arthritis were at least as severe as those observed in patients with end-stage hip arthritis. Patients with ankle arthritis often present with concomitant hindfoot deformity, which may involve the tibiotalar and subtalar joints [16]. "
    [Show abstract] [Hide abstract] ABSTRACT: Patients with ankle arthritis often present with concomitant hindfoot deformity, which may involve the tibiotalar and subtalar joints. However, the possible compensatory mechanisms of these two mechanically linked joints are not well known.
    Full-text · Article · Oct 2014
    • "A recent study has shown that patients with advanced ankle arthritis have reduced health related quality of life with Short Form 36 (SF-36) scores that are 2 standard deviations (SD) below a normal population. This study also reported that the disruption of health related quality of life and physical function are as severe as that in patients with advanced hip arthritis [1]. Management of advanced ankle arthritis that is recalcitrant to non-surgical methods has traditionally been fusion surgery. "
    [Show abstract] [Hide abstract] ABSTRACT: Advanced ankle arthritis is a disabling chronic condition associated with severe pain, deformity, disruption of physical function and quality of life. Ankle arthrodesis has long been used as a successful treatment for advanced ankle arthritis. Total ankle replacement is a fast growing alternative to arthrodesis as it preserves joint mobility and function with good pain relief. Longer term outcome studies showing better survival rates with improved implant and instrumentation designs further fuel this revival of interest in total ankle replacement. This article reviews the evolution of total ankle replacement implants and instrumentation in addressing the various challenges in ankle replacement.
    Full-text · Article · Jul 2014
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