Research Fellow, Department of Orthopaedics and Sports Medicine, University of Cincinnati Medical Center, Cincinnati, OH.
Medical Student, Department of Orthopaedics and Sports Medicine, University of Cincinnati Medical Center, Cincinnati, OH.
J Foot Ankle Surg. 2021 Jul-Aug;60(4):770-776. doi: 10.1053/j.jfas.2021.02.003. Epub 2021 Mar 4.
Total ankle arthroplasty is an increasingly utilized treatment for ankle arthritis due to decreasing failure rates and improved outcomes. However, the literature on this procedure remains heterogeneous with large variability in outcome reporting methods. PRISMA guidelines were used to systematically review outcome reporting measures used in prospective studies and randomized control trials on total ankle arthroplasty published in 15 high-impact journals between Jan 1, 2009-May 1, 2020. A total of 43 studies were included and outcome measures were grouped into seven categories: pain, subjective function, patient satisfaction, complications, objective function, implant survivorship, and imaging. The most common topic of study was implant design followed by differences in outcomes when comparing total ankle arthroplasty and arthrodesis. The most commonly reported outcome measure was post-surgical complications. No study reported on all seven categories, while 22 (51.2%) studies reported on four or more. Subjective measures had significant variability with fifteen different Patient Reported Outcome Measures used across the studies. While the included studies were quite comprehensive, there was little consistency in reporting outcomes after total ankle arthroplasty. With improving outcomes and techniques in total ankle arthroplasty, and thus an expected increase in utilization and number of published studies, efforts should be made to use commonly employed outcome reporting methods to facilitate comparison of results across studies.
全踝关节置换术由于失败率降低和改善的效果，越来越多地被用于治疗踝关节关节炎。然而，该手术的文献仍然存在异质性，其结果报告方法存在很大的差异。本研究采用 PRISMA 指南，系统地回顾了 2009 年 1 月 1 日至 2020 年 5 月 1 日期间，在 15 种高影响力期刊上发表的前瞻性研究和随机对照试验中，全踝关节置换术后使用的结果报告测量方法。共纳入 43 项研究，将结果测量方法分为 7 类：疼痛、主观功能、患者满意度、并发症、客观功能、植入物存活率和影像学。研究最多的主题是植入物设计，其次是比较全踝关节置换术和关节融合术时的结果差异。最常报告的结果测量方法是术后并发症。没有一项研究报告了所有 7 类内容，而 22 项（51.2%）研究报告了 4 项或更多。主观测量指标存在显著差异，15 项不同的患者报告结果测量指标在研究中使用。虽然纳入的研究相当全面，但全踝关节置换术后报告结果的一致性很差。随着全踝关节置换术效果和技术的改善，预计其应用和发表研究的数量将会增加，应努力采用常用的结果报告方法，以便于比较研究结果。
