Evidence map›Paper›PMID 22173565›Full record

ArticleInternational orthopaedics2012

Total ankle arthroplasty versus ankle arthrodesis. Comparison of sports, recreational activities and functional outcome.

Reinhard Schuh, Jochen Hofstaetter, Martin Krismer, Roberto Bevoni, Reinhard Windhager, Hans-Joerg Trnka

Abstract readComparative Study
In one paragraph

Article in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 5 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 5 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Tibiotalocalcaneal arthrodesis using an intramedullary nail: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016
    Pooled it
  6. Step Activity After Surgical Treatment of Ankle Arthritis.The Journal of bone and joint surgery. American volume · 2019
    Trial
  7. Article
  8. Arthroplasty and Tennis: A Narrative Review.Orthopaedic journal of sports medicine · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Trends in the use of ankle arthrodesis and total ankle replacements in Australia over the past 20 years.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. ArthroscopicWorld journal of orthopedics · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Reinhard SchuhDepartment of Orthopaedics, Medical University of Vienna, Vienna, Austria. reinhard.schuh@meduniwien.ac.at
Jochen Hofstaetter
Martin Krismer
Roberto Bevoni
Reinhard Windhager
Hans-Joerg Trnka
Medical University of Vienna · ATInnsbruck Medical University · ATIstituto Ortopedico Rizzoli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnkle arthrodesis (AAD) and total ankle replacement (TAR) are the major surgical treatment options for severe ankle arthritis. There is an ongoing discussion in the orthopaedic community whether ankle arthrodesis or ankle fusion should be the treatment of choice for end stage osteoarthritis. The purpose of this study was to compare the participation in sports and recreational activities in patients who underwent either AAD or TAR for end-stage osteoarthritis of the ankle.

methodsA total of 41 patients (21 ankle arthrodesis /20 TAR) were examined at 34.5 (SD18.0) months after surgery. At follow-up, pre- and postoperative participation in sports and recreational activities has been assessed. Activity levels were determined using the ankle activity score according to Halasi et al. and the University of California at Los Angeles (UCLA) activity scale. Clinical and functional outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score. The percentage of patients participating in sports and recreational activities, UCLA score and AOFAS score were compared between both treatment groups.

resultsIn the AAD group 86% were active in sports preoperatively and in the TAR group this number was 76%. Postoperatively in both groups 76% were active in sports (AAD, p = 0.08). The UCLA score was 7.0 (± 1.9) in the AAD group and 6.8 (± 1.8) in the TAR group (p = 0.78). The AOFAS score reached 75.6 (± 14) in the AAD group and 75.6 (± 16) in the TAR group (p = 0.97). The ankle activity score decrease was statistically significant for both groups (p = 0.047).

conclusionsOur study revealed no significant difference between the groups concerning activity levels, participation in sports activities, UCLA and AOFAS score. After AAD the number of patients participating in sports decreased. However, this change was not statistically significant.

Indexed as

SportsAnkle JointArthrodesisArthroplasty, Replacement, AnkleFemaleHumansMaleMiddle AgedOsteoarthritisOutcome Assessment, Health CarePatient SatisfactionRecovery of FunctionRecreationTreatment Outcome

Identifiers

PMID22173565
PMCPMC3353091
OpenAlexW2054724300

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.