Perioperative Complications and Initial Alignment of Lateral Approach Total Ankle Arthroplasty
| Autor: | Todd A. Derksen, Robert Limoni, J. George DeVries, Brandon M. Scharer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Time Factors Joint Prosthesis medicine.medical_treatment Ankle replacement Nonunion Risk Assessment Severity of Illness Index Perioperative Care Cohort Studies Arthroplasty Replacement Ankle 03 medical and health sciences Postoperative Complications 0302 clinical medicine Osteoarthritis medicine Deformity Humans Orthopedics and Sports Medicine Fibula Aged Retrospective Studies 030222 orthopedics business.industry 030229 sport sciences Perioperative Middle Aged medicine.disease Prosthesis Failure Surgery Radiography Treatment Outcome medicine.anatomical_structure Coronal plane Female Radiology Implant medicine.symptom Ankle business Ankle Joint Follow-Up Studies |
| Zdroj: | The Journal of Foot and Ankle Surgery. 56:996-1000 |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2017.04.016 |
| Popis: | Total ankle replacement continues to become a more common treatment of end-stage ankle arthritis. A lateral approach total ankle implant system is an innovative approach for this treatment. We performed a retrospective review of 16 patients treated with lateral approach total ankle replacement. The implant was successful and retained in all cases during a follow-up period of 769 ± 221.3 days (25.3 ± 7.3 months). Initial satisfactory alignment was achieved in all cases. For patients in whom a frontal plane incongruent deformity was present preoperatively, a statistically significant correction was obtained (p = .0122). Three cases of delayed or nonunion of the fibula (18.8%) occurred, and one case of infection that led to removal of the fibular plate developed, for a total of 4 complications (25.0%) related to the fibular osteotomy. Our findings indicate that lateral approach total ankle replacement is effective with unique advantages and disadvantages for treating end-stage ankle arthritis. |
| Databáze: | OpenAIRE |
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