RESEARCH - Sports and recreation activity of ankle arthritis patients before and after total ankle replacement

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Am J Sports Med. 2006 Jun;34(6):993-9. Epub 2006 Feb 1.

Sports and recreation activity of ankle arthritis patients before and after

total ankle replacement.

Human Performance Laboratory & Orthopaedic Department, University of

Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4, Canada.

v.valderrabano@...

BACKGROUND: Total ankle replacement is a possible treatment for ankle

arthritis; however, participation in sports after this procedure has not yet

been analyzed. HYPOTHESES: There is a significant increase of sports

activity after total ankle replacement in patients with arthritis. There is

a significant correlation between sports activity and American Orthopaedic

Foot and Ankle Society hindfoot score in patients after total ankle

replacement. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A

clinical evaluation was performed preoperatively and at follow-up after

total ankle replacement in 147 patients (152 ankles) with ankle arthritis

(mean age, 59.6 years; range, 28-86 years). Ankle arthritis origin, patient

satisfaction, range of motion, American Orthopaedic Foot and Ankle Society

hindfoot score, radiologic assessment, and rate, level, and type of sports

activity were documented at both evaluations. The mean follow-up was 2.8

years (range, 2-4 years). RESULTS: Preoperative diagnosis was posttraumatic

osteoarthritis in 115 cases (76%). At total ankle replacement follow-up,

excellent and good outcomes were reported in 126 cases (83%); 105 cases

(69%) were pain free. The mean range of motion pre-operatively was 21

degrees (range, 0 degrees -45 degrees ); after total ankle replacement, it

was 35 degrees (range, 10 degrees -55 degrees ; P < .05). The preoperative

American Orthopaedic Foot and Ankle Society score was 36 points; after total

ankle replacement, it was 84 points (P < .001). Before surgery, 36% of the

patients were active in sports; after surgery, this percentage rose to 56%

(P < .001). After total ankle replacement, sports-active patients showed a

significantly higher hindfoot score than did patients not active in sports:

88 versus 79 points (P < .001). The 3 most frequent sports activities were

hiking, biking, and swimming.

CONCLUSION: There was a significant increase of sports activity by treating

ankle arthritis patients with total ankle replacement. Sports-active total

ankle replacement patients showed better functional results than did

inactive ones.

PMID: 16452268

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\

ctPlus & list_uids=16452268

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