Abstract:
BACKGROUND:Periprosthetic osteolysis in total ankle arthroplasty (TAA) is a substantial problem. We report the incidence and characteristics of periprosthetic osteolysis and its association with clinical outcomes after TAA using the HINTEGRA ankle system. METHODS:Between May 2004 and April 2010, 126 primary TAA were performed on 115 patients. We excluded 27 ankles with a follow-up of less than 24 months; thus, 99 ankles in 90 patients with a mean follow-up of 40.8 (range, 24-89) months were included in the study. Pain and clinical outcomes were assessed using the visual analog scale and the American Orthopaedic Foot and Ankle Society score. Fluoroscopy was used for optimum visualization of the bone-implant interfaces on radiographs. Computed tomography (CT) was conducted on 25 ankles that exhibited progression of osteolysis. RESULTS:Radiographs revealed that 37 of the 99 ankles showed radiologic evidence of osteolysis; of these, 10 demonstrated continuous progression over the study period. Helical CT scans were more accurate than radiographs for identifying and measuring periprosthetic osteolysis in TAA. None of the demographic parameters were substantially different between the 2 groups of subjects (with or without osteolysis). No major association was found between the presence of osteolysis and clinical and radiologic outcomes. CONCLUSION:Osteolysis associated with TAA may indeed be common in the postoperative period. Although most of the osteolytic lesions observed here were relatively quiescent, these lesions raise concerns in contemporary TAA because of their incidence rate and the potential for later mechanical failure as compared to arthrodesis. Early diagnosis and careful evaluation of osteolysis may provide a clinical opportunity for limited revision surgery in ankles of impending prosthesis failure. LEVEL OF EVIDENCE:Level IV, case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Yoon HS,Lee J,Choi WJ,Lee JWdoi
10.1177/1071100713509247subject
Has Abstractpub_date
2014-01-01 00:00:00pages
14-21issue
1eissn
1071-1007issn
1944-7876pii
1071100713509247journal_volume
35pub_type
杂志文章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:There is limited consensus on the optimal operative technique for correcting heel varus in patients with Charcot-Marie-Tooth (CMT) disease. This comparative study evaluated the ability of 4 lateralizing calcaneal osteotomies, with and without Dwyer wedge resection and coronal rotation of the posterior tubero...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718781572
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:The current clinical standard for the surgical treatment of ankle instability remains the open modified Broström procedure. Modern advents in arthroscopic technology have allowed physicians to perform certain foot and ankle procedures arthroscopically as opposed to traditional open approaches. METHODS:Twent...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714535765
更新日期:2014-08-01 00:00:00
abstract::Fifty embalmed human tibias were osteotomized to create a simulated vertical shear (supination-adduction) fracture of the medial malleolus and were stabilized using one of five internal fixation techniques. In offset axial testing, which simulated supination-adduction loading, the fixation strength of tibias stabilize...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500905
更新日期:1994-09-01 00:00:00
abstract::A case of tibiofibular synostosis stress fracture is reported with its clinical and radiographic appearance as well as treatment. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500711
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:We aimed to define reference lines on standard lateral ankle radiographs that could be used intraoperatively to minimize iatrogenic nerve injury risk in medial displacement calcaneal osteotomy. METHODS:Forty cadaveric specimens were used. In 20 specimens, the sural, medial plantar (MP), and lateral plantar ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715595696
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:The reported fusion rates of revision arthrodesis for hindfoot nonunions are relatively low compared to primary procedures. Exogenous ultrasound has been shown to accelerate the healing process of acute fractures and fracture nonunions but has not been previously evaluated for the treatment of hindfoot pseud...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700401
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:In Chopart-level amputations the heel often deviates into equinus and varus when, due to the lack of healthy anterior soft tissue, rebalancing tendon transfers to the talar head are not possible. Consequently, anterior and lateral wound dehiscence and ulceration may occur requiring higher-level amputation to...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713495380
更新日期:2013-11-01 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: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
abstract:BACKGROUND:The objective of the study was evaluation of the clinical and radiologic outcomes and complications following the minimally invasive chevron procedure employing the Akin osteotomy with percutaneous transosseous suture as compared to screw fixation. METHODS:Between 2018 and 2019, the authors performed 103 mi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720935036
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Research into gait characteristics has led to the creation of experimental gait simulators. The aim of this work was the development of a Contact Gait Simulation System (CGSS) to generate realistic plantar pressures for the contact phase of gait. The simulator seeks to create muscle loads which guide the foo...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0066
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:The calcaneal osteotomy is a common procedure to correct hindfoot malalignment. Reported union rates are high, utilizing fixation methods including staples, plates, and most commonly cannulated screws. We began our practice using 6.5 mm and 7.3 mm cannulated screws, but complaints of postoperative posterior ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714549191
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Conventional treatment for tibiotalar joint arthritis relies on arthrodesis or prosthetic arthroplasty. Fresh osteochondral allografting is an alternative procedure to replace diseased articular cartilage. METHODS:Eleven patients (average age 43 years; range 18 to 65 years) had fresh osteochondral grafting ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502601002
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the clinical and radiological results in a group of patients who underwent first metatarsophalangeal joint arthrodesis with an endomedullary screw fixation technique (MPA-E). METHODS:Between 2003 and 2009, 101 metatarsophalangeal arthrodesis were performed in 76 pat...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713483113
更新日期:2013-08-01 00:00:00
abstract:HYPOTHESES/PURPOSE:Although several studies in the literature have evaluated the abnormal sensory thresholds of diabetic feet to Semmes-Weinstein monofilament testing, there is very limited data on the sensory thresholds of individuals without diabetes or peripheral neuropathy. The purpose of this study was to assess t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100609
更新日期:2000-06-01 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: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:BACKGROUND:The superficial peroneal nerve (SPN) and its branches are at risk during surgical exposures. Our study aimed to demonstrate the distribution of the SPN on the dorsum of the foot to aid in surgical procedures close to this nerve. METHODS:The SPN was dissected in 30 cadaver lower limbs (13 male and two female...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700609
更新日期:2006-06-01 00:00:00
abstract::Three hundred and eleven patients have been enrolled in a multi-center prospective study evaluating the outcome of hallux valgus surgery by the members of the American Orthopaedic Foot and Ankle Society. One hundred seventy-nine of these patients have completed six-month follow-up questionnaires, and 195 have complete...
journal_title:Foot & ankle international
pub_type: 杂志文章,多中心研究
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更新日期:2001-12-01 00:00:00
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journal_title:Foot & ankle international
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doi:10.1177/1071100714553470
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714552480
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Numerous operative procedures around the foot and ankle use bone graft to augment healing. Autologous bone graft remains the preferred type for these procedures. This can be harvested from the iliac crest, but complications are frequent. The purpose of our study was to investigate the option of harvesting th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600604
更新日期:2005-06-01 00:00:00
abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0616
更新日期:2008-06-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701209
更新日期:1996-12-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500307
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:The Krackow locking loop technique has been used for Achilles tendon repair with documented success in allowing early range of motion with stable fixation. Previous studies documented failure at the rupture site by knot failure. We propose a modification of the traditional Krackow technique where the knots o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0410
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Transfer of the flexor hallucis longus (FHL) tendon is an established method to replace a dysfunctional Achilles tendon. When using a single incision, the FHL tendon has to be transferred as a single stranded graft into the calcaneus and the distal FHL stump cannot be directly attached to the flexor digitoru...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0007
更新日期:2012-01-01 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