Evidence map›Paper›PMID 41841375›Full record

ArticleFoot & ankle international2026

Total Ankle Arthroplasty vs Arthrodesis in an HbA

Ahmad Almaat, Alqasim Elnaggar, Kareem Tayeb, Chayton Fivecoat, Malik Al-Jamal, Muaaz Wajahath, David Allen, Brandon W King

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Foot & ankle international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ahmad AlmaatWayne State University School of Medicine, Detroit, MI, USA.ORCID 0009-0007-1170-3683
Alqasim ElnaggarWayne State University School of Medicine, Detroit, MI, USA.ORCID 0009-0004-0817-3798
Kareem TayebWayne State University School of Medicine, Detroit, MI, USA.
Chayton FivecoatWayne State University School of Medicine, Detroit, MI, USA.
Malik Al-JamalWayne State University School of Medicine, Detroit, MI, USA.
Muaaz WajahathMichigan State University College of Human Medicine, East Lansing, MI, USA.
David AllenWayne State University School of Medicine, Detroit, MI, USA.ORCID 0009-0009-6340-0240
Brandon W KingDepartment of Orthopaedic Surgery, Henry Ford Hospital, Detroit, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with diabetes are at increased risk for postoperative complications after ankle arthrodesis (AA) and total ankle arthroplasty (TAA), yet few studies directly compare outcomes between these procedures in a matched diabetic cohort. This study evaluates outcomes of TAA vs AA in patients with diabetes with end-stage ankle arthritis.

methodsWe performed a retrospective cohort study using the TriNetX Research Network. Adults undergoing primary TAA (

resultsAfter propensity score matching, 255 patients remained in each group. At 1 year, postoperative infection occurred in 5.5% of TAA patients and 9.4% of AA patients; this difference did not meet statistical significance after false discovery rate (FDR) adjustment. ED visits were more common in the AA cohort at 1, 3, and 5 years after FDR correction. Structural complications occurred more frequently in the AA cohort at 1 year (29.8% vs 15.3%; RR 0.51), 3 years (38.8% vs 20.0%; RR 0.52), and 5 years (39.6% vs 21.2%; RR 0.54), and these differences were statistically supported after FDR adjustment.

conclusionIn patients with a recorded HbA

Indexed as

Ankle JointArthrodesisArthroplasty, Replacement, AnkleDiabetes MellitusGlycated HemoglobinPostoperative ComplicationsAgedFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesGlycated Hemoglobinankle arthrodesiscomplicationsdiabetes mellitushemoglobin A1csurgical outcomestotal ankle arthroplasty

Identifiers

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Registered trials

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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.