Artikel
Sports and recreationalactivitiesbefore and afteranklefusion and total anklereplacement. A retrospectviecomparative study
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Autoren
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R. Schuh
- Medizinische Universität Innsbruck, Univ.-Klinik f. Orthopädie, Innsbruck, Austria
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J.G. Hofstaetter
- Medizinische Universität Wien, Univ.-Klinik f. Orthopädie, Wien, Austria
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H.J. Trnka
- Fußzentrum Wien, Wien, Austria
| Veröffentlicht: | 18. Oktober 2011 |
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Gliederung
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Questionnaire: End-stageankleosteoarthritisis a debilitating condition thatresults in functionallimitations and a poorquality of life.Anklearthrodesis (AAD) and total anklereplacement (TAR) are the major surgical treatment options forankle arthritis. Thepurpose of thepresentstudy was to comparepreoperative and postoperative participation in sportsand recreationalactivities,assesseslevels ofhabitualphysicalactivity, functionaloutcome and satisfaction of patients whounderwent eighter AAD or TAR.
Methods: 41 patients (mean age: 60.1y)underwenteighterAAD (21) or TAR (20) by a singlesurgeon. At an averagefollow-up of 30 (AAD) and 39 (TAR) monthsrespectivelyactivitylevelsweredeterminedwithuse of the University of California at Los Angeles (UCLA) activityscale. The American OrthopaedicFoot and Ankle Society (AOFAS) hindfootscore, patients'ssatisfactionand pre- and postoperative participation in sportswereassessed as well.
Results and Conclusions: In the AAD group 90% and in the TAR group 76% wereactive in sportspreoperatively. Postoperatively in bothgroups 76% wereactive in sports( AAD p=0.08). The UCLA scorewas 7.0 (±1.9) inthe AAD group and6.8 (±1.8) in the TAR group (p=0.78). The AOFAS scorereached 75.6 (±14) in the AAD group and 75.6 (±16) in the TAR group (p=0.97).
Our study revealed no significant difference between the group sconcerning activity levels,participation in sports activities, UCLA and AOFAS score. After AAD the number of patients participating in sports decreased. However, this change was not statistically significant.
