Insurance Status and Patient Outcomes After Total Ankle Arthroplasty.
Publication/Presentation Date
4-2-2026
Abstract
BackgroundAs total ankle arthroplasty (TAA) becomes more prevalent compared with arthrodesis for treating ankle osteoarthritis, understanding the impact of insurance type on outcomes is crucial. This retrospective cohort study compares Medicare and Preferred Provider Organization (PPO)/Health Maintenance Organization (HMO) patients, assessing differences in clinical characteristics, complications, reoperations, and patient-reported outcomes. The goal is to identify disparities in TAA outcomes based on insurance type.MethodsWe conducted a retrospective cohort study of 830 patients who underwent TAA between May 2010 and June 2024. Patients were grouped by insurance type (Medicare vs PPO/HMO). The inclusion criteria were patients aged 18+ undergoing TAA; exclusions were for incomplete records. Patient-reported outcomes included preoperative and 1-year postoperative visual analog scale (VAS) pain scores and Foot and Ankle Ability Measure scores. Statistical analyses used T-tests, Mann-Whitney U tests, χ
First Page
19386400261428869
Last Page
19386400261428869
ISSN
1938-7636
Published In/Presented At
Amponsah, N. F., Baidya, J., Pignataro, J., Mody, K., Reddy, D., Culkin, M., Thomas, G. M., Pedowitz, D., Daniel, J., & Parekh, S. (2026). Insurance Status and Patient Outcomes After Total Ankle Arthroplasty. Foot & ankle specialist, 19386400261428869. Advance online publication. https://doi.org/10.1177/19386400261428869
Disciplines
Education | Medical Education
PubMedID
41928480
Department(s)
USF-LVHN SELECT Program, USF-LVHN SELECT Program Students
Document Type
Article