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Female sex as a negative predictor of outcomes of ankle arthrodesis: a retrospective comparative monocentric study

Authors :
Sebastian Fischer
Oliver Neun
Miriam Rüsseler
Eva Herrmann
Philipp Schippers
Matthias Münzberg
Reinhard Hoffmann
Source :
Journal of Orthopaedic Surgery and Research, Vol 19, Iss 1, Pp 1-10 (2024)
Publication Year :
2024
Publisher :
BMC, 2024.

Abstract

Abstract Background End-stage post-traumatic osteoarthritis of the ankle joint may require arthrodesis if conservative treatment fails and a decision against total ankle replacement is made. We aimed to compare the sex-specific differences in outcomes and objectify them using validated specific scores. Methods Between 2010 and 2021, 221 patients underwent ankle arthrodesis at our institution, including 143 men (MAA) and 78 women (FAA). In addition to demographic data, the aetiology of osteoarthritis, the Foot Function Index (FFI-D), the Olerud-Molander Score (OMAS), and the Short Form-12 questionnaire (SF-12) were collected in this monocentric study. The mean follow-up time was 5.8 years. End-stage osteoarthritis was mostly due to ankle fractures as a result of sprains, falls, and road traffic accidents. Results Post-operatively, the mean FFI-D for pain was 17.3 (MAA: 14.7; FAA 22.2) and 43.9 for function (MAA: 41.1; FAA 49.5); the mean OMAS was 58.2; and the mean SF-12 physical component score was 42.5. Women achieved significantly worse results in all scores; only the mental component summary of the SF-12 did not differ between the sexes (p > 0.05). Approximately 34% of women stated that the result in terms of gait pattern was worse than expected (MAA 16.1%; p

Details

Language :
English
ISSN :
1749799X
Volume :
19
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Orthopaedic Surgery and Research
Publication Type :
Academic Journal
Accession number :
edsdoj.31a2a64d626c4c02866966e08a1fa37d
Document Type :
article
Full Text :
https://doi.org/10.1186/s13018-024-05045-8