Severe periprosthetic osteolytic lesions after the Ankle Evolutive System total ankle replacement
| Autor: | Tero Vahlberg, E. Sipola, Ia Kohonen, K. Alanen, Hannu Tiusanen, Helka Koivu |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Osteolysis Adolescent Joint Prosthesis medicine.medical_treatment Ankle replacement Periprosthetic Lesion Young Adult Image Interpretation Computer-Assisted medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Aged Aged 80 and over Titanium business.industry Middle Aged medicine.disease Arthroplasty Surgery Radiography Durapatite medicine.anatomical_structure Orthopedic surgery Female Plain radiographs medicine.symptom Ankle business Ankle Joint |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :907-914 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.91b7.22434 |
| Popis: | Between 2002 and 2008, 130 consecutive ankles were replaced with an hydroxyapatite (HA) and titanium-HA-coated Ankle Evolutive System total ankle prosthesis. Plain radiographs were analysed by two independent observers. Osteolytic lesions were classified by their size and location, with cavities > 10 mm in diameter considered to be ‘marked’. CT scanning was undertaken in all patients with marked osteolysis seen on the plain radiographs. Osteolytic lesions were seen on the plain films in 48 (37%) and marked lesions in 27 (21%) ankles. The risk for osteolysis was found to be 3.1 (95% confidence interval 1.6 to 5.9) times higher with implants with Ti-HA porous coating. Care should be taken with ankle arthroplasty until more is known about the reasons for these severe osteolyses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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