Taylor Michel A, Lachman James R, Adams Samuel B, Nunley James A, DeOrio James K
Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Foot Ankle Orthop. 2023 Aug 11;8(3):24730114231195060. doi: 10.1177/24730114231195060. eCollection 2023 Jul.
Total ankle arthroplasty (TAA) provides a surgical alternative to tibiotalar arthrodesis when treating end-stage ankle arthritis. TAA preserves range of motion at the tibiotalar joint leading to improved postoperative function. Many patients who undergo TAA wish to maintain a high level of activity, including participation in low-impact sports such as golf. There are several studies in the total hip and total knee arthroplasty literature that have looked at the effect of total joint arthroplasty on golf handicap. We hypothesized that similar to hip and knee arthroplasty research, TAA is likely to result in a postoperative increase in golf handicap.
After obtaining institutional review board approval, we retrospectively identified 60 patients (from 140 consecutive TAAs performed between August 2016 and February 2017) who had undergone TAA, played golf pre- and postoperatively, and had at least 1 year of postoperative follow-up. The average postoperative follow-up for the cohort was 28.1 months. Variables including preoperative and postoperative golf handicaps, swing laterality, age, gender, surgical laterality, implant used, and operating surgeon were recorded.
The average preoperative and postoperative handicaps were 19.7 and 17.9, respectively, which did not represent a statistically significant difference ( = .07). Patients who played 3 or more rounds per week had better preoperative and postoperative handicaps compared to patients who played 2 rounds or less; however, the change in their handicap following TAA and the number of rounds played per week was not affected. There was no association between the change in handicap and the follow-up period, handedness of golf shot, surgical laterality, implant used, or the operating surgeon.
Our findings showed that golf handicap was not negatively affected following TAA in this series.
Level IV, case series.
全踝关节置换术（TAA）在治疗终末期踝关节关节炎时为胫距关节融合术提供了一种手术替代方案。TAA保留了胫距关节的活动范围，从而改善术后功能。许多接受TAA的患者希望保持高水平的活动，包括参与高尔夫等低冲击力运动。全髋关节和全膝关节置换术文献中有多项研究探讨了全关节置换术对高尔夫差点的影响。我们假设，与髋关节和膝关节置换术研究类似，TAA术后很可能导致高尔夫差点增加。
获得机构审查委员会批准后，我们回顾性确定了60例患者（来自2016年8月至2017年2月连续进行的140例TAA），这些患者接受了TAA，术前和术后都打高尔夫，且术后至少随访1年。该队列的平均术后随访时间为28.1个月。记录了包括术前和术后高尔夫差点、挥杆偏好、年龄、性别、手术侧别、使用的植入物以及主刀医生等变量。
术前和术后的平均差点分别为19.7和17.9，差异无统计学意义（P = 0.07）。每周打3轮或更多轮的患者术前和术后差点优于每周打2轮或更少轮的患者；然而，TAA术后他们差点的变化与每周打球轮数无关。差点变化与随访时间、高尔夫击球手性、手术侧别、使用的植入物或主刀医生之间均无关联。
我们的研究结果表明，在本系列中TAA术后高尔夫差点未受到负面影响。
IV级，病例系列。
