--- title: "High revision, reop rates using Agility™ Total Ankle System. | Sutter Health" description: "Total ankle arthroplasty had high revision and reoperation rates. Patients who retained their implant had only moderate pain relief and function." url: "https://www.sutterhealth.org/research/publications/high-rev-reop-rates-agility-total-ankle-syst-1055312437" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. High revision, reop rates using Agility™ Total Ankle System. # High revision and reoperation rates using the Agility™ Total Ankle System. Criswell BJ, Douglas K, Naik R, & Thomson AB. _Clin Orthop Relat Res. 470(7):1980-6. doi: 10.1007/s11999-012-2242-6. Epub 2012 Jan 24._ 2012-07-01 ## Abstract BACKGROUND: Total ankle arthroplasty (TAA) is an evolving treatment for end-stage ankle arthritis, however, there is controversy regarding its longevity. QUESTIONS/PURPOSES: We determined survival of the Agility™ TAA, the overall reoperation rate, and function in patients who retained their implant. METHODS: We retrospectively reviewed 64 patients who had 65 TAAs between June 1999 and May 2001. Information was gathered through chart reviews, mailed-in questionnaires, and telephone interviews. Nine patients had died; data were available for 41 of the remaining 55 patients. Survival was based on revision as an end point. The minimum followup was 0.5 years (median, 8 years; range, 0.5-11 years). RESULTS: Sixteen of the 41 patients (39%) needed revisions. The average time to revision surgery was 4 years with six of the revisions (38%) occurring within 1 year of the TAA. Of the 25 patients who retained their implants, 12 required secondary surgery for an overall reoperation rate of 28 of 41 (68%) at an average of 8 years followup. The average VAS pain score was 4, the average Foot and Ankle Ability Measure (FAAM) sports subscale score was 33, and the average FAAM activities of daily living subscale score was 57. CONCLUSION: TAA had high revision and reoperation rates. Patients who retained their implant had only moderate pain relief and function. TAA must be approached with caution. More research is needed to elucidate the role of contemporary TAA. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/22270469) ## Research topics - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Ankle joint contact loads and displacement with progressive syndesmotic injury.](https://www.sutterhealth.org/research/publications/ankle-joint-contact-loads-prog-syndesmotic-injury-1055312416) Hunt KJ, Goeb Y, Behn AW, Criswell B, Chou L. Foot Ankle Int. 36(9):1095-103. doi: 10.1177/1071100715583456. Epub 2015 May 6. 2015 Sep 01 - Publication ### [DPM foot and ankle fellowships.](https://www.sutterhealth.org/research/publications/dpm-foot-and-ankle-fellowships-1055312316) McAlister JE, Hyer CF, Miller JM, Rush S, Saxena A, Steinberg JS, Weil L Jr. Foot Ankle Spec. 6(5):356-63. doi: 10.1177/1938640013500767. Epub 2013 Aug 22.Send to: 2013 Oct 01 - Publication ### [An unusual case of a fibular sesamoid phalangeal ligament tear due to chronic trauma.](https://www.sutterhealth.org/research/publications/fibular-sesamoid-phalangeal-ligament-tear-fr-chronic-trauma-1055312381) Green JI, Kim PM, Levi MJ, Saxena A. J Am Podiatr Med Assoc. doi: 10.7547/18-052. \[Epub ahead of print\] 2019 Jan 12 - Publication ### [Should sports injuries and surgeries be "POLICED"?](https://www.sutterhealth.org/research/publications/should-sports-injuries-and-surgeries-be-policed-1055312423) Saxena A. J Foot Ankle Surg. 56(5):916. doi: 10.1053/j.jfas.2017.06.012. 2017 Sep 01 - Publication ### [Isolated greater trochanteric fracture and the direct anterior approach using a fracture table.](https://www.sutterhealth.org/research/publications/trochanteric-fx-and-anterior-approach-with-fx-table-1055312306) Hartford JM, Graw BP, Knowles SB, Frosch DL. J Arthroplasty. pii: S0883-5403(18)30199-2. doi: 10.1016/j.arth.2018.02.051. \[Epub ahead of print\] 2018 Feb 21 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/high-rev-reop-rates-agility-total-ankle-syst-1055312437#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"High revision, reop rates using Agility™ Total Ankle System."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/high-rev-reop-rates-agility-total-ankle-syst-1055312437#medicalscholarlyarticle","name":"High revision and reoperation rates using the Agility™ Total Ankle System.","headline":"High revision, reop rates using Agility™ Total Ankle System.","abstract":"BACKGROUND: Total ankle arthroplasty (TAA) is an evolving treatment for end-stage ankle arthritis, however, there is controversy regarding its longevity. QUESTIONS/PURPOSES: We determined survival of the Agility™ TAA, the overall reoperation rate, and function in patients who retained their implant. METHODS: We retrospectively reviewed 64 patients who had 65 TAAs between June 1999 and May 2001. Information was gathered through chart reviews, mailed-in questionnaires, and telephone interviews. Nine patients had died; data were available for 41 of the remaining 55 patients. Survival was based on revision as an end point. The minimum followup was 0.5 years (median, 8 years; range, 0.5-11 years). RESULTS: Sixteen of the 41 patients (39%) needed revisions. The average time to revision surgery was 4 years with six of the revisions (38%) occurring within 1 year of the TAA. Of the 25 patients who retained their implants, 12 required secondary surgery for an overall reoperation rate of 28 of 41 (68%) at an average of 8 years followup. The average VAS pain score was 4, the average Foot and Ankle Ability Measure (FAAM) sports subscale score was 33, and the average FAAM activities of daily living subscale score was 57. CONCLUSION: TAA had high revision and reoperation rates. Patients who retained their implant had only moderate pain relief and function. TAA must be approached with caution. More research is needed to elucidate the role of contemporary TAA.","description":"Total ankle arthroplasty had high revision and reoperation rates. Patients who retained their implant had only moderate pain relief and function.","keywords":["Musculoskeletal Disorders"],"datePublished":"2012-07-01","url":"https://www.sutterhealth.org/research/publications/high-rev-reop-rates-agility-total-ankle-syst-1055312437","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"22270469"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1007/s11999-012-2242-6"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/22270469/","https://doi.org/10.1007/s11999-012-2242-6"],"isPartOf":{"@type":"Periodical","name":"Clin Orthop Relat Res"},"author":[{"@type":"Person","name":"Criswell BJ"},{"@type":"Person","name":"Douglas K"},{"@type":"Person","name":"Naik R"},{"@type":"Person","name":"Thomson AB"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Musculoskeletal Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Musculoskeletal+Disorders%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/high-rev-reop-rates-agility-total-ankle-syst-1055312437","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/high-rev-reop-rates-agility-total-ankle-syst-1055312437#breadcrumblist"}}} ```