ArticleBMJ open2016
Pulmonary embolism and mortality following total ankle replacement: a data linkage study using the NJR data set.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Total ankle replacement versus ankle arthrodesis for patients aged 50-85 years with end-stage ankle osteoarthritis: the TARVA RCT.Health technology assessment (Winchester, England) · 2023Pooled it
- Why do orthopaedic surgeons get sued? An analysis of £2.2 billion in claims against NHS England: trends in litigation and strategies to enhance care.Archives of orthopaedic and trauma surgery · 2025Article
- The Burden of Revision Total Ankle Replacement Has Increased From 2010 to 2020.Foot & ankle orthopaedics · 2023Article
- Unusual Histopathological Findings in Mechanically Removed Stroke Thrombi - A Multicenter Experience.Frontiers in neurology · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo determine the mortality rate following total ankle replacement (TAR) and incidence of 90 day pulmonary embolism (PE) along with the associated risk factors.
designData-linkage study of the UK National Joint Registry (NJR) data and Hospital Episodes Statistics (HES) database. Linkage was performed in a deterministic fashion. HES episodes 90 days after the index procedure were analysed for PE. Mortality data were obtained pertaining to all the index procedures from the NJR for analysis.
participantsAll primary and revision ankle replacement patients captured on the NJR between February 2008 and February 2013.
resultsThe 90-day mortality following TAR was 0.13% (95% CI 0.03 to 0.52) and 1-year mortality was 0.72% (95% CI 0.40 to 1.30); no deaths were as a result of PE. The incidence of PE within 90 days following primary TAR was 0.51% (95% CI 0.23 to 1.13). There was only one PE following revision surgery. Patients with an Royal College of Surgeons Charlson score greater than zero were at 13 times greater risk of PE (p=0.003).
conclusionsThere is low incidence of PE following TAR, but multiple comorbidities are a leading risk factor for its occurrence.
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