BMI influence on total ankle arthroplasty outcomes: A systematic review

Total ankle arthroplasty has become an increasingly popular surgical treatment option for ankle arthritis. Patient selection for this procedure is a debated topic. Traditionally, total ankle arthroplasty is chosen for patients who perform only low-demand activities, those who are elderly, and those...

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Main Authors: Bryanna D. Vesely, DPM, MPH, Jennifer A. Kipp, DPM, Thea A. Lance, BS, Brian N. White, MA, Ashleigh W. Medda, DPM, FACFAS, Aaron T. Scott, MD
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Foot & Ankle Surgery: Techniques, Reports & Cases
Subjects:
4
Online Access:http://www.sciencedirect.com/science/article/pii/S266739672400017X
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author Bryanna D. Vesely, DPM, MPH
Jennifer A. Kipp, DPM
Thea A. Lance, BS
Brian N. White, MA
Ashleigh W. Medda, DPM, FACFAS
Aaron T. Scott, MD
author_facet Bryanna D. Vesely, DPM, MPH
Jennifer A. Kipp, DPM
Thea A. Lance, BS
Brian N. White, MA
Ashleigh W. Medda, DPM, FACFAS
Aaron T. Scott, MD
author_sort Bryanna D. Vesely, DPM, MPH
collection DOAJ
description Total ankle arthroplasty has become an increasingly popular surgical treatment option for ankle arthritis. Patient selection for this procedure is a debated topic. Traditionally, total ankle arthroplasty is chosen for patients who perform only low-demand activities, those who are elderly, and those who are not overweight. More recently, foot and ankle surgeons have been expanding this selection criteria. The goal of the present study is to perform a systematic review on the impact of body mass index on total ankle survivorship and complications. 18 articles were included in the present systematic review. Five studies were analyzed for complications and indicated a potential increase in the odds of complications in patients with higher body mass index values, but this did not reach statistical significance (p > 0.05). There was not sufficient information to estimate a pooled effect of body mass index on total ankle arthroplasty survivorship. Due to the limited number of studies that met the review's inclusion and exclusion criteria, a statistical analysis was only performed on complication rates. In addition to a slight increase in complication risk for individuals with higher body mass index values, the results of this review also highlight the need for further studies that investigate the impact of body mass index on total ankle arthroplasty outcomes.
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spelling doaj.art-c0fd6e375b5b45c79129ba51156573582024-03-29T05:51:20ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672024-01-0142100377BMI influence on total ankle arthroplasty outcomes: A systematic reviewBryanna D. Vesely, DPM, MPH0Jennifer A. Kipp, DPM1Thea A. Lance, BS2Brian N. White, MA3Ashleigh W. Medda, DPM, FACFAS4Aaron T. Scott, MD5Department of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston Salem, NC, USADepartment of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston Salem, NC, USA; Corresponding author at: 150 Peters Creek Parkway Apt 317 Winston Salem NC 27101.Wake Forest University School of Medicine, USADepartment of Biostatistics & Data Science, Wake Forest University School of Medicine, USADepartment of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston Salem, NC, USADepartment of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston Salem, NC, USATotal ankle arthroplasty has become an increasingly popular surgical treatment option for ankle arthritis. Patient selection for this procedure is a debated topic. Traditionally, total ankle arthroplasty is chosen for patients who perform only low-demand activities, those who are elderly, and those who are not overweight. More recently, foot and ankle surgeons have been expanding this selection criteria. The goal of the present study is to perform a systematic review on the impact of body mass index on total ankle survivorship and complications. 18 articles were included in the present systematic review. Five studies were analyzed for complications and indicated a potential increase in the odds of complications in patients with higher body mass index values, but this did not reach statistical significance (p > 0.05). There was not sufficient information to estimate a pooled effect of body mass index on total ankle arthroplasty survivorship. Due to the limited number of studies that met the review's inclusion and exclusion criteria, a statistical analysis was only performed on complication rates. In addition to a slight increase in complication risk for individuals with higher body mass index values, the results of this review also highlight the need for further studies that investigate the impact of body mass index on total ankle arthroplasty outcomes.http://www.sciencedirect.com/science/article/pii/S266739672400017X4
spellingShingle Bryanna D. Vesely, DPM, MPH
Jennifer A. Kipp, DPM
Thea A. Lance, BS
Brian N. White, MA
Ashleigh W. Medda, DPM, FACFAS
Aaron T. Scott, MD
BMI influence on total ankle arthroplasty outcomes: A systematic review
Foot & Ankle Surgery: Techniques, Reports & Cases
4
title BMI influence on total ankle arthroplasty outcomes: A systematic review
title_full BMI influence on total ankle arthroplasty outcomes: A systematic review
title_fullStr BMI influence on total ankle arthroplasty outcomes: A systematic review
title_full_unstemmed BMI influence on total ankle arthroplasty outcomes: A systematic review
title_short BMI influence on total ankle arthroplasty outcomes: A systematic review
title_sort bmi influence on total ankle arthroplasty outcomes a systematic review
topic 4
url http://www.sciencedirect.com/science/article/pii/S266739672400017X
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