{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:21:26Z","timestamp":1777612886138,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2014,11,3]],"date-time":"2014-11-03T00:00:00Z","timestamp":1414972800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Total hip and knee arthroplasty (THA and TKA) are accessible to patients with end-stage hip and knee arthritis in most health care systems. The availability of total ankle arthroplasty (TAA) to patients with end-stage ankle arthritis is often restricted because of prosthesis cost. Ankle fusion (AF) is often offered as the only alternative. Patients should have equal access to procedures that are equivalent in total cost. We compared total costs of TAA, AF, THA, and TKA for similar cohorts in a government-funded teaching hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A subset of 13 TAA and 13 AF patients were selected from the Canadian Orthopaedic Foot and Ankle Society Prospective Ankle Reconstruction Database, and 13 THA and 13 TKA patients were randomly selected from the Canadian Joint Replacement Registry. Total cost was estimated from operating room time, hospital stay, surgeon billing, and equipment used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean total cost associated with TAA was $13,500 \u00b1 1000 and was the same as THA ($14,500 \u00b1 1500) and TKA ($12,500 \u00b1 1000). Mean total cost associated with AF was significantly less at $5500 \u00b1 500. Mean operating room time was longer, but mean hospital stay was shorter for the ankle procedures compared with THA and TKA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>All arthroplasties had similar total costs. Total ankle arthroplasty should not be denied based on prosthetic cost alone, as total procedure cost is equivalent to THA and TKA. We believe ankle fusion is a less expensive and preferable alternative for some patient groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level II, comparative series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100714558844","type":"journal-article","created":{"date-parts":[[2014,11,4]],"date-time":"2014-11-04T02:52:27Z","timestamp":1415069547000},"page":"253-257","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Initial Hospital-Related Cost Comparison of Total Ankle Replacement and Ankle Fusion With Hip and Knee Joint Replacement"],"prefix":"10.1177","volume":"36","author":[{"given":"Alastair S. E.","family":"Younger","sequence":"first","affiliation":[{"name":"Division of Distal Extremities, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"BC\u2019s Foot and Ankle Clinic, St Paul\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"MacLean","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics, Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada"},{"name":"Dalhousie University, Halifax, NS, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy R.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, St Michael\u2019s Hospital and University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murray J.","family":"Penner","sequence":"additional","affiliation":[{"name":"Division of Distal Extremities, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"BC\u2019s Foot and Ankle Clinic, St Paul\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin J.","family":"Wing","sequence":"additional","affiliation":[{"name":"Division of Distal Extremities, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"BC\u2019s Foot and Ankle Clinic, St Paul\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Dunbar","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics, Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada"},{"name":"Dalhousie University, Halifax, NS, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Glazebrook","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics, Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada"},{"name":"Dalhousie University, Halifax, NS, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,11,3]]},"reference":[{"key":"bibr1-1071100714558844","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182402c17"},{"key":"bibr2-1071100714558844","first-page":"1261","volume":"59","author":"Centers for Disease Control and Prevention","year":"2010","journal-title":"Morb Mortal Wkly 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