Systemic medical complications following total ankle arthroplasty: A review of the evidence. Issue 7 (October 2022)

• Record Type: Journal Article
• Authors: Curlewis, Keegan; Leung, Brook; Sinclair, Lucy; Chan, Gareth; Bendall, Stephen; Ricketts, David
• Is Part Of: Foot and ankle surgery. Volume 28:Issue 7(2022)
• Page Start: 804
• Page End: 808
• Publication Date: 2022-10
• Subjects: Arthroplasty -- Replacement -- Ankle -- Informed consent -- Postoperative period -- Review -- Body weight -- Venous thromboembolism; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2021.10.012
• Languages: English
• ISSNs: 1268-7731

Abstract

Abstract: Background: Total Ankle Arthroplasty (TAA) is increasingly undertaken for the treatment of end-stage ankle arthritis. For each TAA procedure informed consent is required. The consent process should include discussion of the relevant complications, both systemic and regional. There is a lack of data regarding the systemic complications of TAA. This might cause problems in obtaining valid informed consent. Methods: We reviewed and summarised the literature regarding the systemic complications and mortality rate of TAA. Results: The average rate of systemic medical complications after TAA was 3% (range: 0–7%). The average mortality rate following TAA was 0.3% (range: 0–0.72%). The following were risk factors for systemic medical complications: obesity, diabetes, systemic co-morbidities, preoperative blood transfusion, revision procedures, and long anaesthetic duration. Conclusions: When obtaining informed consent for TAA a systemic complication rate of 3% and a mortality rate of 0.3% ought to be included and documented.