Projections and Epidemiology of Total Ankle and Revision Total Ankle Arthroplasty in the United States to 2030

Jason A. Shah; Andrew M. Schwartz; Kevin X. Farley; Karim Mahmoud; Ahmed Khalil Attia; Sameh Labib; Rishin J. Kadakia

doi:10.1177/19386400221109420

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Projections and Epidemiology of Total Ankle and Revision Total Ankle Arthroplasty in the United States to 2030

Journal article

Peer reviewed

Projections and Epidemiology of Total Ankle and Revision Total Ankle Arthroplasty in the United States to 2030

Jason A. Shah, Andrew M. Schwartz, Kevin X. Farley, Karim Mahmoud, Ahmed Khalil Attia, Sameh Labib and Rishin J. Kadakia

Foot and ankle specialist, Vol.18(2), pp.161-170

04/2025

DOI: 10.1177/19386400221109420

PMID: 35833386

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Abstract

Background: Total ankle arthroplasty (TAA) utilization is increasing in the United States. As the incidence of this procedure grows, it is important for providers to understand the future projections for ankle arthroplasty and more importantly revision total ankle arthroplasty (rTAA). Methods: The National Inpatient Sample (USA) was queried from 2005 to 2017 for all TAA and rTAA. Poisson and linear regression analysis was performed to project annual incidence of TAA and rTAA to 2030, with subgroup analyses on septic rTAA. Results: There were 5315 TAAs performed in 2017, a 564% (P < .001) increase when compared with the TAAs performed in 2005. From 2017 to 2030, the incidence of TAAs is projected to increase from 110% to 796% (P < .001). There were 1170 rTAAs performed in 2017, a 155% (P < .001) increase when compared with rTAAs performed in 2005. There was a 256% increase in the incidence of septic rTAAs from 2005 to 2017 with a projected increase between 22% and 120% by 2030. Conclusions: The incidence of both TAAs and rTAAs is projected to significantly increase over the next decade. Given the known risk factors of TAA and rTAA, these findings reinforce the need for thoughtful consideration when selecting patients for TAA.

infections

complex foot and ankle conditions

general disorders

diagnostic and therapeutic techniques, reconstructive foot and ankle surgery

implant arthroplasty

joint replacement

Details

Title: Subtitle: Projections and Epidemiology of Total Ankle and Revision Total Ankle Arthroplasty in the United States to 2030
Creators: Jason A. Shah - Emory University
Andrew M. Schwartz - Emory University
Kevin X. Farley - Emory University
Karim Mahmoud - Emory University
Ahmed Khalil Attia - Emory University
Sameh Labib - Emory University
Rishin J. Kadakia - Emory University
Resource Type: Journal article
Publication Details: Foot and ankle specialist, Vol.18(2), pp.161-170
DOI: 10.1177/19386400221109420
PMID: 35833386
NLM abbreviation: Foot Ankle Spec
ISSN: 1938-6400
eISSN: 1938-7636
Publisher: SAGE Publications
Language: English
Electronic publication date: 07/14/2022
Date published: 04/2025
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984304703602771

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