Abstract:
:Periprosthetic osteolysis is a common occurrence after total ankle arthroplasty (TAA) and poses many challenges for the foot and ankle surgeon. Osteolysis may be asymptomatic and remain benign, or it may lead to component instability and require revision or arthrodesis. In this article, we present a current and comprehensive review of osteolysis in TAA with illustrative cases. We examine the basic science principles behind the etiology of osteolysis, discuss the workup of a patient with suspected osteolysis, and present a review of the evidence of various management strategies, including grafting of cysts, revision TAA, and arthrodesis.Level of Evidence: Level V, expert opinion.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Mehta N,Serino J,Hur ES,Smith S,Hamid KS,Lee S,Bohl DDdoi
10.1177/1071100720978426subject
Has Abstractpub_date
2020-12-21 00:00:00pages
1071100720978426eissn
1071-1007issn
1944-7876pub_type
杂志文章abstract:BACKGROUND:Liposomal bupivacaine is increasingly being utilized in attempts to provide prolonged local analgesia in the immediate postoperative period. The purpose of this study was to quantify the reduction in opioid consumption as well as postoperative pain scores in the postoperative period when liposomal bupivacain...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714568664
更新日期:2015-05-01 00:00:00
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::Factors making runners more susceptible to injuries were identified with a comparative study between a healthy control group (216) and runners (66) suffering from overuse pathology. On static and dynamic footprint, the angles alpha0 (static) and alpha1 (dynamic) between heel and forefoot have been measured. Analysis s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900106
更新日期:1998-01-01 00:00:00
abstract::Ruptures of tibialis anterior tendon can be caused by open, closed, direct, or indirect trauma, as well as spontaneously. Sixty-three cases of tibialis anterior tendon ruptures have been reported in the international literature. The treatment of choice is the surgical end-to-end or side-to-side anastomosis after previ...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501600712
更新日期:1995-07-01 00:00:00
abstract::The mobility and stability of the ankle joint have been extensively investigated, but many critical important issues still need to be elucidated. However, there seems to be a general agreement on several important observations. A more isometric pattern of rotation for the calcaneofibular and the tibiocalcaneal ligamen...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110070002100715
更新日期:2000-07-01 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::Two commonly used techniques for tibiotalar fusion were quantitatively compared using instrumented testing of the strength of the construct. The tibiae and tali from 10 pairs of fresh-frozen cadaveric limbs were used. One joint of each pair was fused using two 6.5-mm crossed cancellous screws from proximal to distal w...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500604
更新日期:1994-06-01 00:00:00
abstract::A method for measuring first metatarsal rotation on weightbearing tangential radiographs is described. Under controlled conditions using cadaver specimens, 5 degree changes in first metatarsal rotation were associated with a mean change in radiographically measured rotation of 5.4 degrees (SD = 1.7 degrees). A clinica...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601700307
更新日期:1996-03-01 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::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::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
更新日期:2000-05-01 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:BACKGROUND:It is still unknown how ankle range of motion changes following total ankle arthroplasty. This study was undertaken to more accurately address patient expectations, guide postoperative rehabilitation, and improve our understanding of how ankle range of motion changes with time. METHODS:119 total ankle repla...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713481433
更新日期:2013-05-01 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: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::This study proposed to assess foot types and radiological examination of feet of individuals with hypermobility syndrome in comparison to healthy matched controls for age, sex, and body mass index. The relationship between foot angles and hypermobility scores of subjects in both groups were also~assessed. Twenty indiv...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402500211
更新日期:2004-02-01 00:00:00
abstract::The effect of a simulated leg length discrepancy on foot loading patterns and gait cycle times in normal individuals was investigated. Thirty feet of 15 normal volunteers were evaluated. Leg length discrepancy was simulated using flexible polyurethane soles. As leg length discrepancy increased, the total loading incre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302400310
更新日期:2003-03-01 00:00:00
abstract::A retrospective review was performed on industrial patients who sustained calcaneal fractures within the State of Idaho during the years 1992 to 1994, and these patients were insured by the Idaho State Insurance Fund. Of 48 calcaneal fractures that occurred during this period, 18 were non-displaced extra-articular fra...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101102
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:The incidence and potential life-threatening complications of thromboembolic disease after major orthopaedic surgery has been extensively studied. However, there are two studies pertaining to the incidence of thromboembolic disease after foot and ankle surgery, the findings of which suggest that the incidenc...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700907
更新日期:2006-09-01 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:BACKGROUND:Both clinical and radiographic techniques have been used to evaluate foot and ankle position and orientation. Clinical measurements have been shown to be less reliable than radiographic measurements. Because midfoot equinus deformity may coexist with ankle joint equinus deformity, a radiographic method of se...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600312
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Although early accelerated rehabilitation is recommended for the treatment of acute Achilles tendon rupture, most traditional rehabilitation techniques require some type of brace. METHODS:We retrospectively analyzed 44 feet of 44 patients (25 male and 19 female) with a mean age of 31.8 years who had an acut...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716673589
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Identifying the optimal starting point for intramedullary fixation of tibia and femur fractures is well described in the literature using a retrograde or anterograde technique. This technique has not been applied to the fifth metatarsal, where screw trajectory can cause iatrogenic malreduction. The generally...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717702688
更新日期:2017-07-01 00:00:00
abstract::The purpose of this study was to analyze long-term costs for foot ulcers in diabetic patients. Patients were treated and followed prospectively by a foot care team. A retrospective economic analysis was performed of costs for 274 patients during 3 years from healing of an initial foot ulcer, with or without amputation...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501600702
更新日期:1995-07-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the efficacy of corticosteroid injection and determine the duration of symptom-free period after treatment with a single ultrasound-guided injection for a painful Morton's neuroma. MATERIALS AND METHODS:From May 2002 to November 2003, 35 consecutive patients (7 male...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.3113/FAI-2008-0483
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Metastatic disease of the skeleton occurs in at least 20% to 30% of patients with malignancy, but metastasis to the foot and hand (acrometastasis) is extremely rare (0.007% to 0.3%). Metastases to the feet are even rarer and have been reported in half to one-third the rate for hand metastases. Failure to rec...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.3113/FAI.2008.0699
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Evaluation and management of osteochondral lesions of the talus (OLTs) often warrant advanced imaging studies, especially in revision or cases with cystic defects. It is possible that orthopedic surgeons may overestimate the size and misinterpret the morphology of OLT from conventional computed tomography (C...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718771834
更新日期:2018-09-01 00:00:00
abstract::Unlike the Achilles tendon, the posterior tibial tendon does not typically undergo acute rupture. We report two cases of posterior tibial tendon tears occurring in young, athletic individuals (<30 years old) that required operative intervention before the patients could return to competitive sports. We believe that th...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079801900911
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Suture anchors have been developed for the fixation of ligaments, capsules, or tendons to bone. These devices have led to improved fixation, smaller incisions, earlier limb mobility, and improved outcomes. They were originally developed for use in shoulder reconstructions but are now used in almost all extre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600703
更新日期:2005-07-01 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