Abstract:
BACKGROUND:Obesity is a growing problem in Europe and the United States. While obesity has been linked to poor outcomes after total knee or hip replacement, there are no data addressing outcomes in obese patients who underwent total ankle replacement (TAR). METHODS:This retrospective chart review included 118 patients (123 ankles) with a minimum body mass index (BMI) of 30 kg/m2 who underwent TAR between May 2000 and June 2008. There were 61 male (51.7%) and 57 female (48.3%) patients with a mean age of 59.8 +/- 11.6 years (range, 25.4 to 85.0). All patients were evaluated pre- and postoperatively (mean followup 67.7 +/- 27.0 months; range, 29 to 126). Radiological outcomes were assessed using standardized weightbearing radiographs. Clinical outcomes were assessed using the visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot scale. RESULTS:There were nine intraoperative complications. All patients experienced significant pain relief (VAS change from 7.0 +/- 1.7 to 1.4 +/- 1.1, p < 0.001) and functional improvement (AOFAS score change from 35.4 +/- 14.9 to 75.4 +/- 9.6, p < 0.001; total ROM change from 26.9 +/- 13.7 to 35.3 +/- 8.1 degrees, p < 0.001). BMI measured preoperatively, and at 1 and 2 years postoperatively was 32.9 +/- 2.5 (range, 30.0 to 40.0) kg/m2, 32.4 +/- 2.4 (range, 28.6 to 41.0) kg/m2, and 32.2 +/- 2.4 (range, 28.6 to 40.5) kg/m2, respectively. Gender had a significant effect on weight loss, but not age or postoperative sports activity. Revision surgery was performed in six patients, resulting in a 6-year survivorship of 93%. CONCLUSION:Our findings confirm that TAR gives significant pain relief and functional improvement. In this study, the survivorship of the prosthesis components was comparable to the results obtained in non-obese patients.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Barg A,Knupp M,Anderson AE,Hintermann Bdoi
10.3113/FAI.2011.0925subject
Has Abstractpub_date
2011-10-01 00:00:00pages
925-32issue
10eissn
1071-1007issn
1944-7876journal_volume
32pub_type
杂志文章abstract::Tarsal coalition is a bridging between the tarsal bones of the foot. The bridge may be composed of bone, cartilage, fibrous tissue, or a combination of these. When symptomatic, patients usually present with hindfoot pain and frequent sprains as children, adolescents, or young adults. The classical appearance is a rigi...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079601700509
更新日期:1996-05-01 00:00:00
abstract::The capability for discrimination of vibratory stimuli of the sole of the foot was tested on 12 subjects (6 men, 6 women). Two vibratory stimuli (sinusoidal impulse: frequency, 200 Hz; amplitude, 0.1 mm; duration, 2 sec) were applied at different sites to the sole of the foot. Subjects were asked whether they detected...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701008
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:Surgical treatment of multiplanar (varus and dorsal angulation) second toe deformities due to degenerative instability can lead to recurrence, stiffness, and pain. The goal of this study was to evaluate the short-term outcomes associated with a new technique using an extensor digitorum brevis (EDB) tendon re...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713475433
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence...
journal_title:Foot & ankle international
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.1177/1071100718781096
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Arthroscopic lateral ankle ligament repair for chronic lateral ankle instability (CLAI) yields good clinical results. However, the healing process of the ligament after anatomical repair remains unclear. This study evaluated the functional and patient-based outcomes for CLAI patients who underwent arthroscop...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720920610
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the incidence and morphologic characteristics of osteochondral lesions of the distal tibial plafond (OLTP) by location and morphologic characteristics on MRI. MATERIAL AND METHODS:We assigned 9 zones to the distal tibial plafond articular surface in an equal 3 x 3 grid ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0524
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:The etiology of navicular stress fractures is a topic of interest due to the implications in high-level athletes. Previous studies suggest an avascular zone in the central one-third of the bone as a potential causative factor. This study investigated the extraosseous and intraosseous arterial anatomy of the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0857
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:The time at which patients typically present with surgical site infections (SSI) following foot and ankle surgery has not been characterized. The primary aim of this study was to quantify the time to definitive treatment of SSIs. METHODS:We performed a retrospective review of 1933 foot and ankle procedures ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718777468
更新日期:2018-09-01 00:00:00
abstract::An approach to the treatment of dorsal foot pain of neuroma origin is described based upon principals demonstrated to be effective in the treatment of upper extremity dorsoradial neuromas: translocation of the appropriate nerves into a muscle environment away from the joint. In the lower extremity, this requires ident...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900506
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:Retrospective assessment of preoperative status is common in nonprospective study designs. The aim of this study was to test the hypothesis that prospective and retrospective evaluations of the preoperative patient condition in hallux surgery gives equal results and therefore can be used interchangeably. ME...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502601211
更新日期:2005-12-01 00:00:00
abstract::Eleven consecutive patients with 12 stress fractures of the foot or ankle were seen between October 1992 and July 1995. Charts were reviewed retrospectively for clinical information. The patients were all postmenopausal females. Average age was 62 years. Onset of symptoms was not associated with a specific episode of ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900406
更新日期:1998-04-01 00:00:00
abstract::Seven fresh-frozen cadaver specimens had a calcaneal osteotomy performed obliquely through the posterior portion of the calcaneus. Angular relationships between the first metatarsal and talus were recorded with the use of a motion-analysis system in the transverse, sagittal, and coronal planes. The specimen was mounte...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900606
更新日期:1998-06-01 00:00:00
abstract::This study examined stance phase foot kinematics, kinetics and electromyographic (EMG) activity of extrinsic muscles of 18 healthy males. Three-dimensional kinematic and kinetic data were obtained via video analysis of surface markers and a force plate. Ankle joint moments are described about orthogonal axes in a segm...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110070102200105
更新日期:2001-01-01 00:00:00
abstract::Autologous iliac crest graft has been a standard source of supplementary bone for treating bony defects, fractures and arthrodeses. Bone graft substitutes have recently become widely available. This paper reports on the use of bone graft substitute in 28 patients that otherwise would have required an iliac crest graft...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300802
更新日期:2002-08-01 00:00:00
abstract::In this study, 29 patients were hospitalized with a diabetic foot infection and were treated with piperacillin/tazobactam. Of these 23 patients who were evaluated for efficacy of treatment, 22 patients improved or were clinically cured. In seven patients (30%), there was persistence of one of the baseline pathogens. A...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900311
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Different options exist for the operative treatment of forefoot problems and deformities in rheumatoid arthritis (RA). The current study compared first ray and resection arthroplasty with respect to patient satisfaction, clinical and functional outcome. MATERIALS AND METHODS:In a retrospective study 53 RA p...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0589
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:There is no consensus regarding participation in sports and recreational activities following total ankle replacement (TAR) and ankle arthrodesis (AA). This systematic review summarizes the evidence on return to sports and activity after operative management with either TAR or AA for ankle osteoarthritis (OA...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720927706
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Although cross-sectional biomechanical studies have reported that wearing high-heeled shoes can change the musculoskeletal system of the lower extremities, the long-term effects of wearing such shoes on the ankle remain unknown. The aim of this study was to reveal changes in ankle range of motion and muscle ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712468562
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Little data exist regarding the adverse effects of Achilles tendon (AT) elongation after rupture repair on plantarflexion strength. This study aimed to investigate the effect of AT elongation measured using AT resting angle (ATRA) on the plantarflexion strength in patients with surgically treated acute AT ru...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719879659
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:In cases with total ankle replacement (TAR) failure, a decision between revision TAR and salvage arthrodesis (SA) must be made. In a previous study, we analyzed revision TAR and found low functional outcome and satisfaction. The aims of the current study were to analyze SA concerning failure rate and patient...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715617508
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:BACKGROUND:One of the goals of the AOFAS website is to provide easily understandable information about orthopaedic foot and ankle conditions to the public. However, validation of this goal has not been conducted. Evaluation of text reading level is frequently performed using the Flesch-Kincaid formula (FKF). This study...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0287
更新日期:2009-04-01 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::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::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100718807738
更新日期:2019-01-01 00:00:00
abstract:UNLABELLED:We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia. METHODS:A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper po...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300812
更新日期:2002-08-01 00:00:00
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:The tendo Achilles (TA) is a tendon very susceptible to injury. Biomechanical methodologies for exploring tendon strain are limited, however, as they are typically performed in vitro or by indirectly measuring the displacement of reference markers. By using panoramic ultrasound, this study reports a novel ap...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0905
更新日期:2010-10-01 00:00:00
abstract:RECOMMENDATION:There is evidence that the use of WEIGHTBEARING imaging aids in the assessment of progressive collapsing foot deformity (PCFD). The following WEIGHTBEARING conventional radiographs (CRs) are necessary in the assessment of PCFD patients: anteroposterior (AP) foot, AP or mortise ankle, and lateral foot. If...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720950734
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:One of the major concerns with lateral column lengthening (LCL) in symptomatic flatfoot deformity treatment is the risk of postoperative plantar lateral foot discomfort. We evaluated whether this risk can be minimized by using trial metal wedges. Using our study's evaluation tools, the incidence of postopera...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0665
更新日期:2011-07-01 00:00:00