Analysis of early failure rate and its risk factor with 2157 total ankle replacements

Abstract The failure rate of TAA is still higher than that of other joint replacement procedures. This study aimed to calculate the early failure rate and identify associated patient factors. Data from the Korean Health Insurance Review and Assessment Service database from 2009 to 2017 were collecte...

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Autores principales:	Jung Woo Lee, Woo-Young Im, Si Young Song, Jae-Young Choi, Sung Jae Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0c9ebbfd609f4fa9b7f60bb09318fc05
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spelling	oai:doaj.org-article:0c9ebbfd609f4fa9b7f60bb09318fc052021-12-02T13:57:05ZAnalysis of early failure rate and its risk factor with 2157 total ankle replacements10.1038/s41598-021-81576-y2045-2322https://doaj.org/article/0c9ebbfd609f4fa9b7f60bb09318fc052021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81576-yhttps://doaj.org/toc/2045-2322Abstract The failure rate of TAA is still higher than that of other joint replacement procedures. This study aimed to calculate the early failure rate and identify associated patient factors. Data from the Korean Health Insurance Review and Assessment Service database from 2009 to 2017 were collected. We evaluated patients who had TAA as a primary surgical procedure. Early failure was defined as conversion to revision TAA or arthrodesis after primary TAA within five years. Patients with early failure after primary TAA were designated as the “Failure group”. Patients without early failure and who were followed up unremarkably for at least five years after primary TAA were designated as the “No failure group”. Overall, 2157 TAA participants were included. During the study period, 197 patients developed failure within five years postoperatively, for an overall failure rate of 9.1%. Significant risk factors for early failure were history of chronic pulmonary disease, diabetes, peripheral vascular disease, hyperlipidemia, dementia, and alcohol abuse. A significant increase of odds ratio was found in patients with a history of dementia, chronic pulmonary disease, and diabetes. Surgical indications and preoperative patient counseling should consider these factors.Jung Woo LeeWoo-Young ImSi Young SongJae-Young ChoiSung Jae KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jung Woo Lee Woo-Young Im Si Young Song Jae-Young Choi Sung Jae Kim Analysis of early failure rate and its risk factor with 2157 total ankle replacements
description	Abstract The failure rate of TAA is still higher than that of other joint replacement procedures. This study aimed to calculate the early failure rate and identify associated patient factors. Data from the Korean Health Insurance Review and Assessment Service database from 2009 to 2017 were collected. We evaluated patients who had TAA as a primary surgical procedure. Early failure was defined as conversion to revision TAA or arthrodesis after primary TAA within five years. Patients with early failure after primary TAA were designated as the “Failure group”. Patients without early failure and who were followed up unremarkably for at least five years after primary TAA were designated as the “No failure group”. Overall, 2157 TAA participants were included. During the study period, 197 patients developed failure within five years postoperatively, for an overall failure rate of 9.1%. Significant risk factors for early failure were history of chronic pulmonary disease, diabetes, peripheral vascular disease, hyperlipidemia, dementia, and alcohol abuse. A significant increase of odds ratio was found in patients with a history of dementia, chronic pulmonary disease, and diabetes. Surgical indications and preoperative patient counseling should consider these factors.
format	article
author	Jung Woo Lee Woo-Young Im Si Young Song Jae-Young Choi Sung Jae Kim
author_facet	Jung Woo Lee Woo-Young Im Si Young Song Jae-Young Choi Sung Jae Kim
author_sort	Jung Woo Lee
title	Analysis of early failure rate and its risk factor with 2157 total ankle replacements
title_short	Analysis of early failure rate and its risk factor with 2157 total ankle replacements
title_full	Analysis of early failure rate and its risk factor with 2157 total ankle replacements
title_fullStr	Analysis of early failure rate and its risk factor with 2157 total ankle replacements
title_full_unstemmed	Analysis of early failure rate and its risk factor with 2157 total ankle replacements
title_sort	analysis of early failure rate and its risk factor with 2157 total ankle replacements
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/0c9ebbfd609f4fa9b7f60bb09318fc05
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Analysis of early failure rate and its risk factor with 2157 total ankle replacements

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