Hsu Andrew R, Coetzee J Chris, Haddad Steven L, Berlet Gregory C
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois (ARH).
Foot Ankle Spec. 2014 Jun;7(3):193-8. doi: 10.1177/1938640014527126. Epub 2014 Mar 30.
The purpose of this retrospective survey study was to determine the short-term effects of the AAOS/AOFAS total ankle arthroplasty (TAA) training course on participant practice patterns, implant preferences, and complication rates.
An anonymous digital survey was administered via email to all 2012 and 2013 participants. Data regarding industry courses attended, implant system preferences, surgical indications, case volume, patient age, complication rates, and overall perceptions of TAA in the three months before and after the course were collected and analyzed.
Of the 87 participants contacted, 43 (49%) completed the entire survey. STAR (Small Bone Innovations, Inc., Morrisville, PA) was the most preferred implant before the course with 15 individuals listing it as top preference. A large percentage of participants (67%) changed implant preferences after the course. Of the 29 participants who changed preferences, 48% switched to INBONE II (Wright Medical, Arlington, TN) and 24% to STAR. Average number of TAAs performed in the 3 months before the course was 1.3 and increased significantly in the following 3 months to 2.1. Total number of reported intraoperative complications decreased from 12 before the course to 6 after, the most common being malleolar fractures. Overall, 84% of participants indicated that the course positively changed their use and perceptions of TAA and current implant systems.
The main finding of this study was that the AAOS/AOFAS TAA training course changed implant system preferences, surgical indications, number of cases performed, and complication rates among participants in the short-term.
这项回顾性调查研究的目的是确定美国骨科医师学会（AAOS）/美国足踝外科协会（AOFAS）全踝关节置换术（TAA）培训课程对参与者的手术实践模式、植入物偏好和并发症发生率的短期影响。
通过电子邮件向2012年和2013年的所有参与者进行了一项匿名数字调查。收集并分析了有关参加的行业课程、植入系统偏好、手术适应症、病例数量、患者年龄、并发症发生率以及课程前后三个月对TAA的总体看法的数据。
在联系的87名参与者中，43名（49%）完成了全部调查。STAR（Small Bone Innovations公司，宾夕法尼亚州莫里斯维尔）是课程前最受欢迎的植入物，有15人将其列为首选。很大一部分参与者（67%）在课程后改变了植入物偏好。在改变偏好的29名参与者中，48%转而选择INBONE II（Wright Medical公司，田纳西州阿灵顿），24%转而选择STAR。课程前三个月进行的TAA平均数量为1.3例，在接下来的三个月中显著增加至2.1例。报告的术中并发症总数从课程前的12例降至课程后的6例，最常见的是踝关节骨折。总体而言，84%的参与者表示该课程积极改变了他们对TAA和当前植入系统的使用及看法。
本研究主要发现是，AAOS/AOFAS的TAA培训课程在短期内改变了参与者的植入系统偏好、手术适应症、手术病例数量和并发症发生率。
