{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:10:58Z","timestamp":1793171458006,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"University Medical Centre Ljubljana - institutional research","award":["#20230170"],"award-info":[{"award-number":["#20230170"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>To compare patient-reported outcomes and reintervention rates after open vs arthroscopic fusion of the ankle (TT\u2014tibiotalar) or subtalar (ST) joint over a 10-year period in a cohort of patients from a single center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>In total, 129 patients (142 joints) underwent surgery for isolated TT or ST osteoarthritis between 2010 and 2020: 40 TT fusions (11 arthroscopic, 29 open) and 102 ST fusions (25 arthroscopic, 77 open). The course of treatment was followed clinically using patient-reported outcome measures (PROMs) for ankle function: Foot and Ankle Outcome Score\u2014FAOS, general quality of life (European Quality of Life in Five Dimensions 3-level time-trade-off\u2014EQ-5D 3L-TTO) and activity level (Tegner Activity Scale\u2014TAS), and by tracking revision procedures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The median follow-up time was 8 (3\u201313) years. The mean age at the time of surgery was 52 (14) years. Most subjective scores showed significant improvement; cumulative FAOS improved from 41 to 57 in the TT group and from 41 to 67 in the ST group and EQ-5D from 0.40 to 0.55 (TT group) and from 0.38 to 0.60 (ST group), while TAS remained at 2. The ST fusion patients had better subjective outcomes than TT fusion patients. There were no significant differences in PROMs between arthroscopic and open procedures. Older age and preoperative FAOS pain were found to be negative predictors for the postoperative FAOS subscales. Overall, there was an 18% revision rate: 17 non-unions and 8 infections. In addition, 20 hardware removals were performed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Isolated TT or ST fusions performed open or arthroscopically were safe and significantly improved function and quality of life and reduced joint-related pain but did not increase patients\u2019 activity levels. Patients with ST fusion had a better subjective outcome. Older age and lower preoperative FAOS pain were associated with a worse postoperative subjective outcome.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>\n              <jats:italic>Level III<\/jats:italic>\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1177\/19386400251374970","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T05:06:01Z","timestamp":1759554361000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Open vs Arthroscopic Fusion of the Ankle or Subtalar Joint: A Comparison and Analysis of Long-term Results"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7798-6766","authenticated-orcid":false,"given":"Nedim","family":"Mujanovi\u0107","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, University Medical Centre Sarajevo, Sarajevo, Bosnia and Herzegovina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5199-9377","authenticated-orcid":false,"given":"Nik","family":"\u017dlak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia"},{"name":"Chair of Orthopaedics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"\u017dlak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia"},{"name":"Chair of Orthopaedics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matej","family":"Drobni\u010d","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia"},{"name":"Chair of Orthopaedics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211047239"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000246468.80635.ef"},{"key":"e_1_3_3_4_2","first-page":"44","article-title":"Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center","volume":"25","author":"Saltzman CL","year":"2005","unstructured":"Saltzman CL, Salamon ML, Blanchard GM, et al Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center. 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A comparison of an arthroscopic and an open method of treatment","volume":"268","author":"Myerson MS","year":"1991","unstructured":"Myerson MS, Quill G. Ankle fusion. A comparison of an arthroscopic and an open method of treatment. Clin Orthop Relat Res. 1991;268:84-95.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.29923"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04747-y"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2021.08.008"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.3109\/07853890109002087"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2478\/sjph-2020-0002"},{"key":"e_1_3_3_20_2","article-title":"Arthroscopic ankle fusion: a long-term follow-up study","author":"Jones CR","year":"2015","unstructured":"Jones CR, Wong E, Applegate GR, Ferkel RD. Arthroscopic ankle fusion: a long-term follow-up study. 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