Abstract:
BACKGROUND:Ankle disorders in patients with rheumatoid arthritis (RA) reduce their quality of life and activities of daily living. The aim of this study was to evaluate the midterm clinical and radiographic outcomes of TAA in patients with RA. METHODS:This retrospective study included patients with a minimum follow-up of 2 years. A total of 37 RA patients (39 ankles) were enrolled in this study from August 2006 to March 2016. All the patients had undergone primary cemented mobile-bearing total ankle arthroplasty (TAA). Nine ankles received arthrodesis of the subtalar joint simultaneously. Patient-reported outcomes were measured preoperatively and at the latest follow-up by Self-Administered Foot-Evaluation Questionnaire (SAFE-Q). Radiographs of the ankle were analyzed preoperatively and at all follow-up visits to measure the periprosthetic radiolucent line, migration of the tibial component, and the subsidence of the talar component. Intraoperative and postoperative complications were recorded. The average duration of follow-up for the entire cohort was 5.0 ± 2.0 years (range 2.1-10.1 years). RESULTS:All subscales of the SAFE-Q had improved significantly at the latest follow-up. No significant difference was found between the range of motion of the ankle before and after the surgery. Radiolucent lines were observed in 28 (73.7%) ankles. Migration of the tibial component and subsidence of the talar component were found in 8 (21.1%) and 11 (28.9%) ankles, respectively. Intraoperative malleolus fractures occurred in 3 (7.7%) ankles and delayed wound healing in 10 (25.6%) ankles. Four ankles were removed because of deep infection or noninfective loosening, resulting in an implant survival rate of 88.4% (95% CI, 0.76-1.0) at 10 years. CONCLUSION:The midterm patient-reported outcomes and implant retention rate after cemented mobile-bearing TAA for RA patients were satisfactory. However, a low radiographic implant success rate was observed. LEVEL OF EVIDENCE:Level IV, retrospective case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Yano K,Ikari K,Okazaki Kdoi
10.1177/1071100719851469subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1037-1042issue
9eissn
1071-1007issn
1944-7876journal_volume
40pub_type
杂志文章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:BACKGROUND:The current literature is not clear regarding the best method of determining medial longitudinal arch (MLA) height. Differences in MLA height can significantly alter lower extremity biomechanics; therefore, an accurate and reproducible assessment of arch height is essential for clinical evaluation and future...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0456
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Polydactyly of the fifth toe is the most common congenital malformation of the forefoot, and no consensus has been reached as to which toe component should be excised or by which surgical technique. The purpose of this study was to evaluate the results of the operative treatment of postaxial polydactyly and ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713477608
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Recurrent pain and deformity following forefoot surgery can cause significant patient disability. In patients with rheumatoid arthritis, first metatarsophalangeal (MTP) joint arthrodesis with lesser metatarsal head resections-termed the rheumatoid forefoot reconstruction-has been shown to be a reliable opera...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717696253
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Repeated elevation of intramuscular pressure (IMP) causes skeletal-muscles damage. The purpose of this paper was to investigate the regenerative effect of satellite cells autografted to the damaged muscle in a rabbit model. MATERIALS AND METHODS:Twenty-four adult rabbits were randomized into three groups: 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0706
更新日期:2010-08-01 00:00:00
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::Between 1986 and 1999, we surgically treated 41 patients (49 feet) with Tarsal Tunnel Syndrome (TTS) in whom seven (eight feet) were associated with an accessory muscle. An accessory flexor digitorum longus muscle was present in six patients, and an accessory soleus muscle was in one patient (both feet). Three of them...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400206
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:Fixed equinovarus deformities can be challenging to treat especially in medically debilitated patients. The purpose of this study was to evaluate Achilles lengthening with posterior tibial tenotomy and immediate weightbearing in this difficult group of patients. MATERIALS AND METHODS:Thirteen extremities in...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0325
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Among the various operative treatments of Morton's neuroma, deep transverse metatarsal ligament (DTML) release has been performed for decompression of neuroma. However, the main lesion of Morton's neuroma is located between the metatarsal head and the metatarsophalangeal (MTP) joint and more distal than the ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713499905
更新日期:2013-12-01 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: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::We evaluated retrospectively the long-term results of isolated calcaneal fractures treated with open reduction and internal fixation and a primary subtalar arthrodesis. From 1990 to 1997 258 patients were treated with a calcaneal fracture, for the current study six patients were included. Six different surgeons operat...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200102
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Isolated lateral calcaneocuboid joint instability rarely is described. Missed or delayed diagnosis resulting in inadequate treatment may lead to chronic instability, followed by sports inability and handicap in daily life. Besides arthrodesis, anatomic repair augmenting the elongated dorsal calcaneocuboid li...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0202
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Semiautomatic 3-dimensional (3D) biometric weightbearing computed tomography (WBCT) tools have been shown to adequately demonstrate the relationship between the center of the ankle joint and the tripod of the foot. The measurement of the foot and ankle offset (FAO) represents an optimized biomechanical asses...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720920274
更新日期:2020-07-01 00:00:00
abstract::A prospective randomized controlled trial comparing open and percutaneous repair of closed ruptured Achilles tendons was performed over a period of 30 months. Sixty-six patients from seven district general hospitals were entered into the study with 33 patients randomized into each group. A modification of the techniqu...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110070102200705
更新日期:2001-07-01 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::We describe the characteristics of the medial longitudinal arch (MLA) of the right foot in 19 healthy men while sitting/partial bodyweight, standing/full bodyweight, and during the stance phase of walking. Three measurements were selected as representative of the MLA, including: height of the arch, length of the arch,...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000208
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND:The nature of the sesamoid complex in the development of hallux rigidus or limitus (HL) has been poorly characterized and the role of the sesamoids in the surgical management of this condition has not been explored. Previous surgical approaches in younger active patients unsuited to destructive procedures ha...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0640
更新日期:2009-07-01 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::Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717741856
更新日期:2018-02-01 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 modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.1124
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Most studies on Achilles tendon ruptures involved US military or European populations, which may not translate to the general US population. The current study reviews 406 consecutive Achilles tendon ruptures occurring in the general US population for patterns in a tertiary care subspecialty referral setting....
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713477621
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Over the past decade, total ankle arthroplasty (TAA) has become a mainstay in the treatment of end-stage ankle arthritis. Currently in its fourth generation, the Scandanavian Total Ankle Replacement (STAR) is the only 3-piece mobile bearing ankle prosthesis available in the United States. Our current study r...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717738747
更新日期:2018-02-01 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: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::The purpose of this ex vivo biomechanical study was to determine the strength and stiffness of the anterior and posterior syndesmotic tibiofibular ligaments and the posterior tibiotalar component of the deltoid ligament. Injuries to these ligaments are a prevalent clinical problem, yet little is known about their mech...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400509
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS:We prospectively identified a consecutive series of 455 primary TARs operated between May 2007 and September 2013 who had a minimum follow-up o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715606477
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:The adult drop-foot is one of the most disabling disorders that affects gait and quality of life. Despite orthoses and orthopaedic shoes, the disability often progresses. We have used the Lambrinudi arthrodesis to correct the bony component of drop-foot in association with a posterior tibial tendon transfer ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0030
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Although metatarsophalangeal (MTP) arthrodesis has been advocated by many authors, implant arthroplasty appears to be successful option in advanced hallux rigidus (HR). The aim of our study was to evaluate the early results of the ToeFit-Plus prosthesis for the treatment of HR. METHODS:Between December 2007...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713496770
更新日期:2013-11-01 00:00:00