Clinical evaluation and radiographic assessment of bone lysis of the AES total ankle replacement.

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 Int

authors

Besse JL,Brito N,Lienhart C

doi

10.3113/FAI.2009.0964

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

964-75

issue

10

eissn

1071-1007

issn

1944-7876

pii

50029438

journal_volume

30

pub_type

杂志文章
  • SPECT/CT in the management of osteochondral lesions of the talus.

    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

    authors: Meftah M,Katchis SD,Scharf SC,Mintz DN,Klein DA,Weiner LS

    更新日期:2011-03-01 00:00:00

  • Treatment of calcaneal osteomyelitis with free serratus anterior muscle flap transfer.

    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

    authors: Xu XY,Zhu Y,Liu JH

    更新日期:2009-11-01 00:00:00

  • Use of implantable bone growth stimulation in Charcot ankle arthrodesis.

    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

    authors: Hockenbury RT,Gruttadauria M,McKinney I

    更新日期:2007-09-01 00:00:00

  • Safe Zone for the Plantar Portal: A Cadaveric Study.

    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

    authors: Maeda S,Niki H,Hirano T,Akiyama Y

    更新日期:2016-02-01 00:00:00

  • Necessity of Interfragmentary Lag Screws in Precontoured Lateral Locking Plate Fixation for Supination-External Rotation Lateral Malleolar Fractures.

    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

    authors: Park YH,Cho HW,Choi GW,Kim HJ

    更新日期:2020-07-01 00:00:00

  • Morton's intermetatarsal neuroma: morphology and histological substrate.

    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

    authors: Morscher E,Ulrich J,Dick W

    更新日期:2000-07-01 00:00:00

  • CT measurement of range of motion of ankle and subtalar joints following two lateral column lengthening procedures.

    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

    authors: Beimers L,Louwerens JW,Tuijthof GJ,Jonges R,van Dijk CN,Blankevoort L

    更新日期:2012-05-01 00:00:00

  • A technique for isolated arthrodesis for inflammatory arthritis of the talonavicular joint.

    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

    authors: Chiodo CP,Martin T,Wilson MG

    更新日期:2000-04-01 00:00:00

  • Plantar fasciitis: how successful is surgical intervention?

    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

    authors: Davies MS,Weiss GA,Saxby TS

    更新日期:1999-12-01 00:00:00

  • Radiographic Morphologic Characteristics of Bunionette Deformity.

    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

    authors: Shimobayashi M,Tanaka Y,Taniguchi A,Kurokawa H,Tomiwa K,Higashiyama I

    更新日期:2016-03-01 00:00:00

  • Preoperative footbaths reduce bacterial colonization of the foot.

    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

    authors: Ng AB,Adeyemo FO,Samarji R

    更新日期:2009-09-01 00:00:00

  • Clinical, quantitative assessment of first tarsometatarsal mobility in the sagittal plane and its relation to hallux valgus deformity.

    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

    authors: Klaue K,Hansen ST,Masquelet AC

    更新日期:1994-01-01 00:00:00

  • Intrachondral microvasculature in the human fetal talus.

    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

    authors: Cheng X,Wang Y,Qu H

    更新日期:1997-06-01 00:00:00

  • Treatment of Insertional Achilles Pathology With Dorsal Wedge Calcaneal Osteotomy in Athletes.

    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

    authors: Georgiannos D,Lampridis V,Vasiliadis A,Bisbinas I

    更新日期:2017-04-01 00:00:00

  • Risk to neurovascular structures using posterolateral percutaneous ankle screw placement: a cadaver study.

    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

    authors: Keeling JJ,Schon LC

    更新日期:2007-05-01 00:00:00

  • Treatment of os calcis fractures by open reduction and internal fixation.

    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

    authors: Hutchinson F 3rd,Huebner MK

    更新日期:1994-05-01 00:00:00

  • Arthroscopic removal of an osteoid osteoma of the talus: a case report.

    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

    authors: Resnick RB,Jarolem KL,Sheskier SC,Desai P,Cisa J

    更新日期:1995-04-01 00:00:00

  • Biomechanical comparison of 4 different lateral plate constructs for distal fibula fractures.

    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

    authors: Eckel TT,Glisson RR,Anand P,Parekh SG

    更新日期:2013-11-01 00:00:00

  • Bunion correction using proximal chevron osteotomy: a single-incision technique.

    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

    authors: Sammarco GJ,Russo-Alesi FG

    更新日期:1998-07-01 00:00:00

  • In-vitro comparison of biomechanical efficiency of three cannulated screws for arthrodesis of the hindfoot.

    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

    authors: Huber WO,Reihsner R,Trieb K,Wanivenhaus AH,Beer R

    更新日期:2008-02-01 00:00:00

  • Arthroscopic ankle arthrodesis.

    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

    authors: Gougoulias NE,Agathangelidis FG,Parsons SW

    更新日期:2007-06-01 00:00:00

  • Ankle arthropathy of hemochromatosis: a case series and review of the literature.

    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

    authors: Davies MB,Saxby T

    更新日期:2006-11-01 00:00:00

  • Anatomy of the plantar plate and its attachments in the lesser metatarsal phalangeal joint.

    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

    authors: Deland JT,Lee KT,Sobel M,DiCarlo EF

    更新日期:1995-08-01 00:00:00

  • Biomechanical Comparison of Low-Profile Contoured Locking Plate With Single Compression Screw to Fully Threaded Compression Screws for First MTP Fusion.

    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

    authors: Fuld RS 3rd,Kumparatana P,Kelley J,Anderson N,Baldini T,Younger ASE,Hunt KJ

    更新日期:2019-07-01 00:00:00

  • Anterior dislocation of the subtalar joint: a case report.

    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

    authors: Kanda T,Sakai H,Koseki K,Tamai K,Takeyama N,Saotome K

    更新日期:2001-07-01 00:00:00

  • High Prevalence of Vitamin D Deficiency in Patients With Bone Marrow Edema Syndrome of the Foot and Ankle.

    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

    authors: Horas K,Fraissler L,Maier G,Jakob F,Seefried L,Konrads C,Rudert M,Walcher M

    更新日期:2017-07-01 00:00:00

  • Long-term results after metatarsal head resection in the treatment of rheumatoid arthritis.

    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

    authors: Reize P,Leichtle CI,Leichtle UG,Schanbacher J

    更新日期:2006-08-01 00:00:00

  • Bizarre parosteal osteochondromatous proliferation (Nora's lesion) of the sesamoid: a case report.

    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

    authors: Harty JA,Kelly P,Niall D,O'Keane JC,Stephens MM

    更新日期:2000-05-01 00:00:00

  • The effect of shoe gear on human tibial strains recorded during dynamic loading: a pilot study.

    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

    authors: Milgrom C,Burr D,Fyhrie D,Forwood M,Finestone A,Nyska M,Giladi M,Liebergall M,Simkin A

    更新日期:1996-11-01 00:00:00

  • Validation and Generalizability of Preoperative PROMIS Scores to Predict Postoperative Success in Foot and Ankle Patients.

    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

    authors: Anderson MR,Houck JR,Saltzman CL,Hung M,Nickisch F,Barg A,Beals T,Baumhauer JF

    更新日期:2018-07-01 00:00:00