Document Detail

Distinctive pain course during first year after total ankle arthroplasty: a prospective, observational study.
MedLine Citation:
PMID:  21288409     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Patients and health care professionals alike are often surprised by the course of pain after total ankle arthroplasty (TAA). The current study aimed to determine the baseline patterns of postoperative symptoms during the first year following uncomplicated TAA.
MATERIALS AND METHODS: In a prospective observational study 28 patients with unilateral posttraumatic osteoarthritis were tested for pain with a visual analogue scale, swelling (min grade, 0; max grade, 4), ankle range of motion, and AOFAS ankle score. Assessments were performed preoperatively and 6 weeks, 3, 6, 9, and 12 months after TAA.
RESULTS: At 6 weeks all variables had improved significantly. However, at 3 months a relapse with deterioration of mean variables was found. These improved asymptotically during assessments at 6, 9, and 12 months.
CONCLUSION: Our data suggest patients undergoing uncomplicated TAA have to overpass what we believe is an adaptive inflammatory phase with increased periarticular pain and swelling about 3 months after surgery. This distinctive course may influence patient education and increase confidence of healthcare professionals involved in the rehabilitation of TAA patients.
Geert Pagenstert; Monika Horisberger; André G Leumann; Martin Wiewiorski; Beat Hintermann; Victor Valderrabano
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Foot & ankle international     Volume:  32     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-03     Completed Date:  2011-03-29     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-9     Citation Subset:  IM    
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MeSH Terms
Activities of Daily Living
Arthroplasty, Replacement, Ankle / adverse effects*
Edema / etiology
Follow-Up Studies
Middle Aged
Osteoarthritis / surgery
Pain Measurement*
Pain, Postoperative / etiology*
Prospective Studies
Range of Motion, Articular
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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