Abstract:
BACKGROUND:AES mobile-bearing total ankle replacement is evolved from the Buechel Pappas model. We report medium-term results of a prospective study with AES. MATERIALS AND METHODS:All patients who underwent AES TAR for ankle arthritis, by a single surgeon, from 2003 to 2006 were included, excluding neurologic disease, talar osteonecrosis and malalignment more than 20 degrees. All were reviewed at 6 months, 1 year, and at yearly intervals thereafter. X-rays were analyzed by three observers, using a 10-zone protocol. Fifty consecutive AES implants in 47 patients (mean age, 56 years; range, 21 to 79 year) were included, with at least 2 years' followup (mean 40 months). Preoperative diagnosis was mainly post-traumatic (50%) and osteoarthritis secondary to instability (36%). Associated procedures were performed in 38%. RESULTS:Eighty-two percent had good functional results. The mean AOFAS score rose from 36.9 +/- 1.7 preoperatively to 85.4 +/- 12, dorsiflexion from 3 degrees to 7.3 degrees, and plantarflexion from 30.8 degrees to 37.8 degrees. Two ankles underwent secondary arthrodesis for talar subsidence and mechanical dislocation. Ninety-eight percent of implants were well positioned at 90 degrees +/-4. Mean prosthesis ROM on X-ray was 22.1 degrees. There were tibia/implant interface cysts (greater than 5 mm) in 62% of cases, and talar/implant interface cysts in 43%. CONCLUSION:Although functional outcomes were comparable to the other mobile TAR in the literature, bone lysis with the AES prosthesis was more frequent with risk of subsidence. We therefore stopped implantation of this prosthesis and recommend preventive grafting for severe lysis.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Besse JL,Brito N,Lienhart Cdoi
10.3113/FAI.2009.0964subject
Has Abstractpub_date
2009-10-01 00:00:00pages
964-75issue
10eissn
1071-1007issn
1944-7876pii
50029438journal_volume
30pub_type
杂志文章abstract:BACKGROUND:The treatment of osteochondral lesion of the talus (OLT) is mainly based upon the stage of the disease so accurate imaging is crucial. SPECT/CT combines bone scan with high-resolution CT and can provide functional-anatomical images in a single stage. The purpose of this study was to assess the value of SPECT...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0233
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Chronic calcaneal osteomyelitis is a difficult problem to eradicate. The infected bone and soft tissue can rarely be successfully treated conservatively. But after aggressive debridement, there is usually a large defect in the calcaneus and soft tissue. Free serratus anterior muscle flap can not only fill th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.1088
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to review the results of arthrodesis of the Charcot hindfoot when an implantable bone growth stimulator was added to the procedure. Arthrodesis of the Charcot hindfoot has a high nonunion and complication rate. METHODS:Ten patients (ages 50 to 69 years) with Charcot neuroarthro...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0971
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Understanding the plantar nerve anatomy is crucial for safe endoscopic surgery of the sole. We aimed to anatomically dissect the lateral aspect and soles of cadaveric feet to investigate the safety of peroneus longus tendoscopy with a plantar lateral portal and the safe zones for plantar portals. METHODS:We...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715607964
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Interfragmentary lag screws, protected by a plate, have been applied for many years in the treatment of supination-external rotation (SER) ankle fractures. Recently, similar biomechanical stability was found between fixation completed with a plate and lag screw and a plate alone. The aim of this study was to...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720917645
更新日期:2020-07-01 00:00:00
abstract::Twenty-three biopsies from patients with the typical symptoms of intermetatarsal neuroma (so-called Morton's metatarsalgia) were compared histologically and semi-quantitatively with 25 plantar nerves from the intermetatarsal space III/IV gained at autopsies from cases where no problems in the forefoot had been recorde...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100705
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Lateral column lengthening (LCL) has become an accepted procedure for the operative treatment of the flexible flatfoot deformity. Hindfoot arthrodesis via a calcaneocuboid distraction arthrodesis (CCDA) has been considered a less favourable surgical option than the anterior open wedge calcaneal distraction o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0386
更新日期:2012-05-01 00:00:00
abstract::There are few reports in the literature documenting the efficacy of isolated arthrodesis for inflammatory arthritis of the talonavicular joint. Accordingly, we reviewed a single surgeon's experience with this procedure in twenty consecutive cases from this patient population. A technique using indirect joint distracti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100406
更新日期:2000-04-01 00:00:00
abstract::Forty-three patients (47 heels) underwent decompression of the nerve to abductor digiti minimi with partial plantar fascia release for intractable plantar fasciitis over a 4-year period. Forty-one patients (45 heels) were available for follow-up. All of the patients had failed to respond to nonoperative treatment. The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902001209
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:Bunionette deformity is characterized as head hypertrophy, lateral bowing, or splaying of the fifth metatarsal, or a combination of these deformities. Most previous studies have focused on the fourth and fifth metatarsals; few have analyzed the radiographic morphologic characteristics of the entire foot. The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715614923
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Previous studies have demonstrated higher infection rates following elective procedures on the foot and ankle compared with procedures involving other areas of the body. Previous studies also have documented the difficulty of eliminating bacteria from the forefoot prior to surgery. The purpose of the present...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.3113/FAI.2009.0860
更新日期:2009-09-01 00:00:00
abstract::Today, bunion surgery is still controversial. Considering that a bunion deformity in fact may be a result of multiple causes, the rationale of the currently applied techniques of surgical treatment has not been conclusively demonstrated. In view of the known hypermobility syndrome of the first ray that results in insu...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110079401500103
更新日期:1994-01-01 00:00:00
abstract::The intrachondral microvasculature of the growing talus of human was studied in 16 fetuses aged from 15 to 44 weeks of gestation, using interrupted serial sections and vascular injection of ink. The cartilage model of the talus was shown to be well vascularized throughout by cartilage canals. The cartilage canal conta...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800604
更新日期:1997-06-01 00:00:00
abstract:BACKGROUND:Insertional Achilles tendinopathy and retrocalcaneal bursitis is difficult to treat, and several operative techniques have been used after failure of conservative management. Dorsal wedge calcaneal osteotomy has been described for the treatment of insertional Achilles pathology. It was hypothesized that dors...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716681139
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Over the past 20 years, ankle arthrodesis with use of screw augmentation has become a popular technique to gain fusion of the arthritic ankle. The objective of this cadaver study was to identify the risks to local neurovascular structures using standard operative practices for percutaneous guide pin placemen...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0614
更新日期:2007-05-01 00:00:00
abstract::Over a 3-year period, 47 displaced intra-articular fractures of the os calcis in 43 patients underwent open reduction and internal fixation. A significant feature of this series is that computed tomography was used to assess all fractures both before and after surgery. Seventy-seven percent demonstrated a consistent f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500501
更新日期:1994-05-01 00:00:00
abstract::This article describes a patient with a 10-year history of persistent ankle pain. Differential diagnosis included osteoid osteoma and anterior ankle impingement. This patient subsequently underwent arthroscopic excision of a lesion on the talar neck following a complete radiographic work-up, which was nondiagnostic. T...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501600409
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:Displaced lateral malleolar fractures are often treated with reduction and surgical stabilization. However, there has not been a comprehensive laboratory comparison to determine the most appropriate device for treating these patients. This study subjected a range of contemporary lateral fibular plates to a s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713496223
更新日期:2013-11-01 00:00:00
abstract::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900703
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Sufficient inter-fragmentary compression is helpful to achieve successful bony fusion in hindfoot arthrodesis using internal fixation by screws. Beside bone quality, the design of a screw influences inter-fragmentary compression. Compressive force is achievable for any kind of screw system; however, the prim...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0225
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Arthroscopic arthrodesis has been used mainly for in situ fusion of arthritic ankles without deformity. This paper presents the application of arthroscopic arthrodesis of ankles with marked deformity. METHODS:The results of 78 consecutive cases of arthroscopic ankle arthrodeses, performed in 74 patients, we...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0695
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:Genetic hemochromatosis is a relatively common disease that may present as an arthropathy. In particular, arthropathy of the ankle is invariably bilateral and occurs in young men. However, the orthopaedic management of this condition has been poorly documented. METHODS:Four patients with hemochromatic ankle...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701106
更新日期:2006-11-01 00:00:00
abstract::The plantar plate is a rarely seen, yet central structure to the lesser metatarsal phalangeal (MP) joint. Thirty cadaver lesser MP joints were studied to obtain a detailed description of the plate, including its dimensions, connections, and histology. The plate was found to be made of fibrocartilage with fiber orienta...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600804
更新日期:1995-08-01 00:00:00
abstract:BACKGROUND:Open metatarsophalangeal (MTP) arthrodesis using locked plates produces good clinical outcomes. However, arthroscopic fusion with new-generation fully threaded compression screws is emerging as an alternative. The purpose of this study was to compare low-profile contoured locked plates with fully threaded co...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719837524
更新日期:2019-07-01 00:00:00
abstract::We report a very rare case of anterior dislocation of the subtalar joint. Forceful supination of the foot and dorsiflexion of the ankle was considered the cause of the injury in this case. Closed reduction was successful for the talocalcaneal component of subtalar joint, although surgery was subsequently performed bec...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200715
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Bone marrow edema syndrome (BMOS) is a phenomenon primarily affecting the lower extremity. It is characterized by a sudden onset of pain and an ill-defined osseous hyperintense signal in magnetic resonance imaging. The main cause of BMOS is still largely unknown. Its pathophysiology is presumably multifactor...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717697427
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:In this retrospective study, both the patients' and surgeons' satisfaction with resection of the first through fifth metatarsal heads for long-standing rheumatoid forefoot deformity was evaluated. METHODS:Thirty-four patients (56 feet) had first through fifth metatarsal head resection. After a mean time of ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700804
更新日期:2006-08-01 00:00:00
abstract::We report the a case of Nora's lesion (Bizarre Parosteal Osteochondromatous Proliferation) of the sesamoid. A 32-year-old woman presented with a painless, enlarging mass of two years duration on the plantar aspect of the first metatarsophalangeal joint of the left foot. Radiographs, Computerized Tomographs and Magneti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100509
更新日期:2000-05-01 00:00:00
abstract::The study was conducted to test the hypothesis that alterations in shoe gear can affect tibial strains in the human during dynamic loading. Rosette strain gauges were mounted on the medial border of the mid-diaphysis in two human subjects with a new strain gauge bonding technique using methyl methacrylate. Strain meas...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701104
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:A recent publication reported preoperative Patient-Reported Outcomes Measurement Instrumentation System (PROMIS) scores to be highly predictive in identifying patients who would and would not benefit from foot and ankle surgery. Their applicability to other patient populations is unknown. The aim of this stu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718765225
更新日期:2018-07-01 00:00:00