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Current Trends in the Treatment of Ankle Arthritis: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey
J Korean Foot Ankle Soc 2021;25:111-116
Published online September 15, 2021;  https://doi.org/10.14193/jkfas.2021.25.3.111
© 2021 Korean Foot and Ankle Society

Byung-Ki Cho, Jaeho Cho*, Heui-Chul Gwak, Hak Jun Kim, Su-Young Bae§; The Academic Committee of Korean Foot and Ankle Society, 2021

Department of Orthopedic Surgery, Chungbuk National University Hospital, Cheongju, *Department of Orthopedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Department of Orthopedic Surgery, Busan Centum Hospital, Busan, Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, §Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea
Correspondence to: Su-Young Bae
Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul 01757, Korea
Tel: 82-2-950-1399, Fax: 82-2-950-1398, E-mail: youngos@paik.ac.kr
ORCID: https://orcid.org/0000-0002-2954-2511
Received August 27, 2021; Revised August 29, 2021; Accepted August 30, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Variations in the preferred conservative and operative treatment methods for ankle arthritis may be observed in the practice of orthopedic surgeons. This study is based on the Korean Foot and Ankle Society (KFAS) member survey and aims to report the current trend and changes in the management of ankle arthritis over the last few decades.
Materials and Methods: A web-based questionnaire containing 24 questions was sent to all KFAS members in July 2021. The questions were mainly related to the preferred techniques and clinical experience in osteotomy, arthrodesis, and total ankle arthroplasty (TAA) for patients with ankle arthritis.
Results: Sixty-three out of 550 surgeons (11.5%) responded to the survey. The responses to 6 out of the total of 24 questions (25.0%) achieved the levels needed to reflect a tendency. Answers that showed a tendency were related to the following: a surgical approach for arthrodesis (anterior approach), use of auto-bone graft for arthrodesis (iliac bone), a nonunion rate of more than 10% following arthrodesis, main reason related to unsatisfactory results after arthrodesis (nonunion or delayed union), the main reason to change total ankle prosthesis (unstable supply of prosthesis), the unusualness of revision TAA and conversion of fusion to TAA. Diversity was found in several aspects of treatment (degree of experience and satisfaction in supramalleolar osteotomy, fixation method for arthrodesis, preferred TAA prosthesis and longevity, degree of experinece, annual number of TAA operation.
Conclusion: This study proposes updated information with regard to the current trends in the management of ankle arthritis in Korea. Both consensus and variations in the approach to patients with ankle arthritis were identified through this survey. With an increasing preference for TAA, the need for the development of a prosthesis optimized for Koreans and a stable supply of prostheses were the suggestions made by the study.
Keywords : Ankle, Arthritis, Trend, Survey, Korean Foot and Ankle Surgery