{"id":"https://openalex.org/W2900633014","doi":"https://doi.org/10.1302/0301-620x.100b10.bjj-2018-0180.r1","title":"Total ankle arthroplasty: what are the risks?","display_name":"Total ankle arthroplasty: what are the risks?","publication_year":2018,"publication_date":"2018-10-01","ids":{"openalex":"https://openalex.org/W2900633014","doi":"https://doi.org/10.1302/0301-620x.100b10.bjj-2018-0180.r1","mag":"2900633014","pmid":"https://pubmed.ncbi.nlm.nih.gov/30295527"},"language":"en","primary_location":{"id":"doi:10.1302/0301-620x.100b10.bjj-2018-0180.r1","doi":"https://doi.org/10.1302/0301-620x.100b10.bjj-2018-0180.r1","is_oa":false,"landing_page_url":"https://doi.org/10.1302/0301-620x.100b10.bjj-2018-0180.r1","pdf_url":null,"source":{"id":"https://openalex.org/S4210239958","display_name":"The Bone & Joint Journal","issn_l":"2049-4394","issn":["2049-4394","2049-4408"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311815","host_organization_name":"British Editorial Society of Bone & Joint Surgery","host_organization_lineage":["https://openalex.org/P4310311815"],"host_organization_lineage_names":["British Editorial Society of Bone & Joint Surgery"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Bone &amp; Joint Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103281977","display_name":"T.M. Clough","orcid":"https://orcid.org/0000-0003-2734-093X","observed_orcids":["https://orcid.org/0000-0003-2734-093X"]},"institutions":[{"id":"https://openalex.org/I2801965655","display_name":"Wrightington, Wigan and Leigh NHS Foundation Trust","ror":"https://ror.org/028mrxf52","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801965655"]},{"id":"https://openalex.org/I4210106051","display_name":"Wrightington Hospital","ror":"https://ror.org/00y112q62","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210106051"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"T. M. Clough","raw_affiliation_strings":["Foot and Ankle Surgery, Wrightington Hospital, Wigan, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Foot and Ankle Surgery, Wrightington Hospital, Wigan, UK","institution_ids":["https://openalex.org/I2801965655","https://openalex.org/I4210106051"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111749848","display_name":"Farhan Alvi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801965655","display_name":"Wrightington, Wigan and Leigh NHS Foundation Trust","ror":"https://ror.org/028mrxf52","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801965655"]},{"id":"https://openalex.org/I4210106051","display_name":"Wrightington Hospital","ror":"https://ror.org/00y112q62","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210106051"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"F. Alvi","raw_affiliation_strings":["Foot and Ankle Surgery, Wrightington Hospital, Wigan, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Foot and Ankle Surgery, Wrightington Hospital, Wigan, UK","institution_ids":["https://openalex.org/I2801965655","https://openalex.org/I4210106051"]}]},{"author_position":"last","author":{"id":null,"display_name":"H. Majeed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801965655","display_name":"Wrightington, Wigan and Leigh NHS Foundation Trust","ror":"https://ror.org/028mrxf52","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801965655"]},{"id":"https://openalex.org/I4210106051","display_name":"Wrightington Hospital","ror":"https://ror.org/00y112q62","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210106051"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"H. Majeed","raw_affiliation_strings":["Foot and Ankle Surgery, Wrightington Hospital, Wigan, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Foot and Ankle Surgery, Wrightington Hospital, Wigan, UK","institution_ids":["https://openalex.org/I2801965655","https://openalex.org/I4210106051"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.1643,"has_fulltext":false,"cited_by_count":61,"citation_normalized_percentile":{"value":0.96973366,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"100-B","issue":"10","first_page":"1352","last_page":"1358"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.9477999806404114,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.9477999806404114,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.03139999881386757,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.009399999864399433,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-ankle-arthroplasty","display_name":"total ankle arthroplasty","score":1.0},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9179999828338623},{"id":"https://openalex.org/keywords/periprosthetic-joint-infection","display_name":"periprosthetic joint infection","score":0.8410000205039978},{"id":"https://openalex.org/keywords/intraoperative-fracture","display_name":"intraoperative fracture","score":0.8339999914169312},{"id":"https://openalex.org/keywords/aseptic-loosening","display_name":"aseptic loosening","score":0.9549999833106995},{"id":"https://openalex.org/keywords/osteolysis","display_name":"osteolysis","score":0.9290000200271606},{"id":"https://openalex.org/keywords/thromboembolism","display_name":"thromboembolism","score":0.9919999837875366},{"id":"https://openalex.org/keywords/informed-consent","display_name":"informed consent","score":0.8790000081062317},{"id":"https://openalex.org/keywords/complication-rates","display_name":"complication incidence","score":0.8240000009536743}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9550147652626038},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.7850704789161682},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6336473822593689},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5789080858230591},{"id":"https://openalex.org/C2781282405","wikidata":"https://www.wikidata.org/wiki/Q2035084","display_name":"Osteolysis","level":2,"score":0.5455749034881592},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.5254365801811218},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007258","descriptor_name":"Informed Consent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058737","descriptor_name":"Arthroplasty, Replacement, Ankle","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1302/0301-620x.100b10.bjj-2018-0180.r1","doi":"https://doi.org/10.1302/0301-620x.100b10.bjj-2018-0180.r1","is_oa":false,"landing_page_url":"https://doi.org/10.1302/0301-620x.100b10.bjj-2018-0180.r1","pdf_url":null,"source":{"id":"https://openalex.org/S4210239958","display_name":"The Bone & Joint Journal","issn_l":"2049-4394","issn":["2049-4394","2049-4408"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311815","host_organization_name":"British Editorial Society of Bone & Joint Surgery","host_organization_lineage":["https://openalex.org/P4310311815"],"host_organization_lineage_names":["British Editorial Society of Bone & Joint Surgery"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Bone &amp; Joint Journal","raw_type":"journal-article"},{"id":"pmid:30295527","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30295527","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The bone & joint journal","raw_type":"Clinical Trial"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320337372","display_name":"U.S. National Library of Medicine","ror":"https://ror.org/0060t0j89"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":48,"referenced_works":["https://openalex.org/W148351503","https://openalex.org/W1635139016","https://openalex.org/W1821648525","https://openalex.org/W1950092806","https://openalex.org/W1970400214","https://openalex.org/W1989143159","https://openalex.org/W2004581826","https://openalex.org/W2011839301","https://openalex.org/W2018485011","https://openalex.org/W2020993098","https://openalex.org/W2022955208","https://openalex.org/W2026934414","https://openalex.org/W2041184377","https://openalex.org/W2053083904","https://openalex.org/W2059852479","https://openalex.org/W2062757036","https://openalex.org/W2075172161","https://openalex.org/W2085847871","https://openalex.org/W2085874046","https://openalex.org/W2091663828","https://openalex.org/W2093487566","https://openalex.org/W2103259878","https://openalex.org/W2103538310","https://openalex.org/W2103577283","https://openalex.org/W2116955556","https://openalex.org/W2117896827","https://openalex.org/W2124747966","https://openalex.org/W2130920242","https://openalex.org/W2143077460","https://openalex.org/W2171365138","https://openalex.org/W2171536646","https://openalex.org/W2176790655","https://openalex.org/W2210452576","https://openalex.org/W2255497853","https://openalex.org/W2257257290","https://openalex.org/W2260650811","https://openalex.org/W2308626537","https://openalex.org/W2318765544","https://openalex.org/W2323059317","https://openalex.org/W2403255783","https://openalex.org/W2471989870","https://openalex.org/W2516731016","https://openalex.org/W2570372480","https://openalex.org/W2736279418","https://openalex.org/W2768210413","https://openalex.org/W2786392460","https://openalex.org/W2792052114","https://openalex.org/W4294345045"],"related_works":["https://openalex.org/W4285404599","https://openalex.org/W2982618485","https://openalex.org/W4390234209","https://openalex.org/W2756292934","https://openalex.org/W4230952638","https://openalex.org/W2270180204","https://openalex.org/W3009120624","https://openalex.org/W2530958339","https://openalex.org/W2081240796","https://openalex.org/W7212282976"],"abstract_inverted_index":{"AIMS:":[0],"Total":[1,254],"ankle":[2,72,208,248,255,263],"arthroplasty":[3,249,256],"(TAA)":[4],"surgery":[5],"is":[6,30],"complex":[7],"and":[8,23,45,97,134,146,166,183,193,210,260,279,288,297],"attracts":[9],"a":[10,33,42,81,101],"wide":[11],"variety":[12],"of":[13,27,36,38,60,68,104,148,201,227,246],"complications.":[14,24],"The":[15,25,110,225,234],"literature":[16,43,289],"lacks":[17],"consistency":[18],"in":[19,84,156,162,169,176,179,184,187,206,212,221,230,250,293],"reporting":[20,143],"adverse":[21],"events":[22],"aim":[26],"this":[28,307],"article":[29],"to":[31,46,54,108,238,241,258,276],"provide":[32,298],"comprehensive":[34],"analysis":[35],"each":[37,115],"these":[39],"complications":[40,119,147,245,274],"from":[41,51],"review,":[44],"compare":[47],"them":[48],"with":[49,57,100,270],"rates":[50,269,301],"our":[52],"Unit,":[53],"aid":[55],"clinicians":[56],"the":[58,141,144,202,242,251,262,294],"process":[59,296],"informed":[61,304],"consent.":[62,305],"PATIENTS":[63],"AND":[64],"METHODS:":[65],"A":[66],"total":[67,71,247],"278":[69],"consecutive":[70],"arthroplasties":[73],"(251":[74],"patients),":[75],"performed":[76],"by":[77],"four":[78,188],"surgeons":[79],"over":[80],"six-year":[82],"period":[83],"Wrightington":[85],"Hospital":[86],"(Wigan,":[87],"United":[88],"Kingdom)":[89],"were":[90,94,112,130,153,195,236],"prospectively":[91],"reviewed.":[92],"There":[93,152],"143":[95],"men":[96],"108":[98],"women":[99],"mean":[102],"age":[103],"64":[105],"years":[106],"(41":[107],"86).":[109],"data":[111],"recorded":[113],"on":[114,128],"follow-up":[116],"visit.":[117],"Any":[118],"either":[120],"during":[121],"initial":[122],"hospital":[123],"stay":[124],"or":[125],"subsequently":[126],"reported":[127,244],"follow-ups":[129],"recorded,":[131],"investigated,":[132],"monitored,":[133],"treated":[135],"as":[136],"warranted.":[137],"Literature":[138],"search":[139],"included":[140],"studies":[142],"outcomes":[145],"TAA":[149,271],"implants.":[150],"RESULTS:":[151],"wound-healing":[154],"problems":[155],"nine":[157],"ankles":[158,164,171,181,189,198,214,223,232],"(3.2%),":[159],"superficial":[160],"infection":[161,168],"20":[163],"(7.2%),":[165],"deep":[167],"six":[170],"(2.2%).":[172],"Intraoperative":[173],"fractures":[174],"occurred":[175,205,229],"medial":[177,218],"malleoli":[178,186],"27":[180],"(9.7%)":[182],"lateral":[185],"(1.4%).":[190],"Aseptic":[191],"loosening":[192],"osteolysis":[194],"seen":[196],"16":[197],"(5.8%).":[199],"Fracture":[200],"polyethylene":[203],"component":[204],"one":[207],"(0.4%)":[209],"edge-loading":[211],"seven":[213],"(2.5%).":[215],"We":[216],"observed":[217],"gutter":[219],"pain":[220],"31":[222],"(11.1%).":[224],"incidence":[226],"thromboembolism":[228],"two":[231],"(0.7%).":[233],"results":[235,287],"found":[237],"be":[239,277],"comparable":[240],"previously":[243],"literature.":[252],"CONCLUSION:":[253],"continues":[257],"evolve":[259],"improve":[261],"function.":[264],"Despite":[265],"high":[266],"overall":[267],"complication":[268,300],"surgery,":[272],"most":[273],"appear":[275],"minor":[278],"do":[280],"not":[281],"affect":[282],"final":[283],"clinical":[284],"outcome.":[285],"Our":[286],"review":[290],"will":[291],"help":[292],"consent":[295],"detailed":[299],"for":[302],"an":[303],"Cite":[306],"article:":[308],"Bone":[309],"Joint":[310],"J":[311],"2018;100-B:1352-8.":[312]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":11},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":10},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":7}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2018-11-29T00:00:00"}
