Abstract:
BACKGROUND:The published long-term follow-up of modern total ankle arthroplasty is limited. We report results after a minimum of 10-year follow-up in a cohort of patients who underwent the Scandinavian Total Ankle Replacement (STAR™) in the United States. METHODS:Between 1998 and 2003, 18 patients underwent total ankle arthroplasty for end-stage ankle degeneration and were available for follow-up at a minimum of 10 years postoperatively out of a consecutive series of 41 patients. All surgeries were performed by a single surgeon at a single institution. Clinical, radiographic, and functional examinations were performed. Revision was defined as failure of either the tibial or the talar metallic component. The mean length of follow-up was 12.6 years (range, 10.2 to 14.6). RESULTS:Overall implant survival was 94.4% (17/18). A total of 39% (7/18) required additional surgical procedures, most of which were performed greater than 9 years postoperatively, and 1 required a revision of the prosthesis. Preoperative VAS pain scale scores improved from 8.1 to 2.1 out of 10 at latest follow-up. Mean Buechel-Pappas Scale scores improved from 32.8 to 82.1 and mean AOFAS Ankle-Hindfoot Scale scores improved from 32.8 to 78.1 at latest follow-up. All patients reported their outcome as good or excellent. CONCLUSION:In the current cohort of STAR ankle patients, implant survival, patient satisfaction, pain relief, and function were high. However, the rate of additional procedures was also high, which highlights the need for patient follow-up and additional long-term outcome studies on total ankle arthroplasty. LEVEL OF EVIDENCE:Level IV, cohort study.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Jastifer JR,Coughlin MJdoi
10.1177/1071100714550654subject
Has Abstractpub_date
2015-02-01 00:00:00pages
143-50issue
2eissn
1071-1007issn
1944-7876pii
1071100714550654journal_volume
36pub_type
杂志文章abstract::Between 1984 and 1994, 40 patients with a posttraumatic compartment syndrome of the lower leg and foot were treated for talipes equinovarus adductus foot deformity, which subsequently developed. Twenty patients had a wedge osteotomy followed by arthrodesis of the midtarsal joint (Chopart joint). Another 17 patients ha...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700607
更新日期:1996-06-01 00:00:00
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...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0964
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:The Weil osteotomy for treatment of central metatarsalgia is an oblique osteotomy of the metatarsal neck and shaft parallel to the ground that provides controlled shortening of the metatarsal without additional depression. It offers many advantages over more traditional osteotomies, including stability and a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500902
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Minimally invasive distal metatarsal osteotomy (MIDMO) is a common technique used to correct the hallux valgus deformity, but controversy remains regarding the expected outcomes of this surgery. METHODS:Seventy-two patients (85 feet) suffering from hallux valgus underwent MIDMO with a modified Bösch techniq...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713481453
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:External rotation stress (ERS) identifies ankle instability after fibular reduction of rotational ankle injuries. Combined hindfoot and ankle motions and an inconsistent starting position could mask differing degrees of instability resulting from syndesmotic and/or deltoid ligament disruption. The goal of th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719840993
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:The importance of isolated gastrocnemius contracture in disorders of the foot and ankle has been established in recent years. The aim of this study was to describe the proximal anatomical approach to the medial and lateral heads of gastrocnemius and to compare the sizes of the medial and lateral heads of the...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.1202
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Deep infection after open reduction internal fixation (ORIF) of ankle fractures represents a challenge to the orthopaedic surgeon, particularly in patients in whom conventional surgical treatments have failed. The aim of this study was to assess the results of a modified technique of tibiotalocalcaneal fusio...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720939884
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:This study aimed to investigate the widening between the first cuneiform (C1) and second metatarsal (M2) in a Lisfranc ligamentous complex (LLC) joint injury model subjected to successive ligament dissections evaluated by weightbearing computed tomography (CT) scans. METHODS:Twenty-four intact cadaveric fee...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720938331
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Supramalleolar osteotomies are increasingly popular for addressing asymmetric arthritis of the ankle joint. Still, recommendations for the indication and the use of additional procedures remain arbitrary. We preoperatively grouped different types of asymmetric arthritis into several classes and assessed the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.1023
更新日期:2011-11-01 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
abstract:BACKGROUND:Osteonecrosis and nonunions of the tarsal navicular remain a challenging clinical problem. This article presents a series of patients treated with local vascularized pedicle bone grafting to the navicular. The purpose of this study was to determine the early clinical and radiographic outcomes of this techniq...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0734
更新日期:2012-09-01 00:00:00
abstract::Twelve patients underwent successful tibiotalocalcaneal arthrodesis using a locked intramedullary nail with posterior moldable bone grafting. Two of the patients developed a nondisplaced stress fracture around the proximal interlocking screws, which responded to immobilization at 8 and 15 months after surgery. In 7 of...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000806
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Suture anchors have been used for soft tissue repair in orthopedic surgery for decades. Recently, bioabsorbable suture anchors have increased in popularity and have spurred the introduction of ultrasound-assisted systems. The purpose of our study was to determine the clinical safety and efficacy of a new ult...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720935122
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Computer Assisted Surgery (CAS) has shown the potential to increase the accuracy of surgical procedures in different fields of orthopedic surgery. The clinical experiences of 100 cases with CAS guided arthrodeses were evaluated. MATERIALS AND METHODS:Two navigation systems were used (VectorVision/Navivision...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1235
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Chronic ankle instability has a well-known association with intra- and extraarticular ankle pathologies, including peroneal tendonitis and subluxation. Patients with peroneal pathology are at risk for failure of conservative treatment for their ankle instability, thus identifying these patients is important ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714556759
更新日期:2015-03-01 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: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 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::There are numerous cutaneous disorders that affect the foot, but of these conditions skin infections have the most significant impact on overall patient morbidity and clinical outcome. Skin infections in foot and ankle patients are common, with often devastating consequences if left unrecognized and untreated in both ...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.3113/FAI.2012.0612
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:The majority of lateral ankle instability can be treated successfully with conservative method. However, if such treatments fail, surgical treatment should be considered. A wide variety of procedures have been introduced to treat chronic lateral ankle instability. The percutaneous method avoids dissection wh...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0099
更新日期:2012-02-01 00:00:00
abstract::The purpose of this study is to report our experience with the Vacuum Assisted Closure (VAC) negative pressure technique in patients with non-healing wounds of the foot, ankle, and lower limb. We retrospectively reviewed 17 patients with non-healing wounds of the lower extremity who underwent treatment using the Vacuu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202301002
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Lisfranc joint injuries are often misdiagnosed, leading to significant morbidity. Methods for anatomic reduction of the tarsometatarsal joint include closed reduction with casting or surgical stabilization with either Kirschner wires and/or cortical screw fixation. Controversy exists as to which fixation tec...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500515
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine whether low-fidelity arthroscopic simulation training improves basic ankle arthroscopy performance and efficiency among orthopedic trainees. METHODS:Twenty-nine orthopedic surgery trainees with varying levels of experience in ankle arthroscopy were randomized into ...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.1177/1071100715576369
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Osteoarthritis (OA) is characterized not only by cartilage degeneration, but also subchondral bone changes. The subchondral bone plate (SBP) plays an important role in cartilage metabolism, and elucidation of the relationship between the SBP and cartilage degeneration would be helpful to determine the most a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714548061
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Charcot arthropathy is a chronic, progressive destructive process affecting bone architecture and joint alignment in people lacking protective sensation. The etiologic factors leading to progressive bone resorption have not been elucidated. The purpose of this study was to histologically examine surgical spe...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701007
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Concomitant chronic tears of both peroneal tendons rarely are reported. We present our experience in treating these injuries and suggest an algorithm for surgical treatment, determined by the presence of a functioning tendon or tendons, mobility of the remaining peroneal musculature, ankle stability, and pos...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402501002
更新日期:2004-10-01 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:Recently, it has been shown that avascular necrosis of the talus can occur in only a portion of the talar body. There is little information regarding the geographic location of the avascular segment and the clinical significance of an incomplete avascular process. METHODS:Seven patients with partial avascul...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0777
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:The use of single-photon-emission computed tomography (SPECT) in identifying unexplained pain in the foot and ankle has been described, where other imaging modalities have failed. The investigation of a painful total ankle replacement (TAR) is difficult, often not delineating a definitive cause. Our aim in t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715573050
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:This retrospective comparative study reports the practical function in daily and sports activities after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. METHODS:Seventeen patients were followed for a minimum of 3 years after tibialis posterior tendon transfer for foot dro...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717695508
更新日期:2017-06-01 00:00:00