Total ankle arthroplasty with severe preoperative varus deformity.

Abstract:

:Advancements in total ankle arthroplasty (TAA) over the past several decades have led to improved patient outcomes and implant survivorship. Despite these innovations, many implant manufacturers still consider a preoperative coronal plane deformity greater than 10° a relative contraindication to TAA. Without proper intraoperative alignment, these implants may experience abnormal wear and hardware failure. Correcting these deformities, often through the use of soft tissue procedures and/or osteotomies, not only increases the difficulty of a case, but also the intraoperative time and radiation exposure. The authors report a case in which a 54-year-old man with a severe right ankle varus deformity of 29° underwent successful TAA using the INBONE II Prophecy total ankle system (Wright Medical Technology, Inc, Memphis, Tennessee) and additional soft tissue reconstruction. Intraoperatively, the patient's coronal deformity was corrected to 1.8°. At 8 months postoperatively, the patient ambulated without restriction and had substantial improvement in validated patient outcome scores, specifically the Academy of Orthopaedic Surgeons Foot and Ankle Module and the Short Form Health Survey-12 This unique report documents the first time that this particular implant, with an exclusive preoperative computed tomography-derived patient-specific guide, has been used effectively for a severe preoperative varus deformity greater than 20° without the need for an osteotomy. Future studies should be directed toward the prospective evaluation of different total ankle implant systems and their outcomes with severe coronal plane deformity, specifically computed tomography-derived patient-specific guided implants.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Hanselman AE,Powell BD,Santrock RD

doi

10.3928/01477447-20150402-91

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

e343-6

issue

4

eissn

0147-7447

issn

1938-2367

journal_volume

38

pub_type

杂志文章
  • Upper-extremity thrombosis in a patient after biceps tenodesis.

    abstract::Deep venous thrombosis (DVT) of the upper extremity is uncommon compared with DVT of the lower extremity. Exertional DVT has been described in some athletes, especially in the dominant arm of baseball players. It is important for health care professionals to recognize the signs and symptoms of upper-extremity DVT, whi...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20141124-92

    authors: Offoha RU,Garzon-Muvdi J,Streiff MB,McFarland EG

    更新日期:2014-12-01 00:00:00

  • Ankylosing spondylitis in an athlete with chronic sacroiliac joint pain.

    abstract::Ankylosing spondylitis is a disease in which inflammation of joints, most often in the axial skeleton, can lead to reactive fibrosis and eventual joint fusion with associated immobility and kyphosis. The disease often involves extra-articular features, such as uveitis and aortic regurgitation, as well as associated in...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140124-27

    authors: Miller TL,Cass N,Siegel C

    更新日期:2014-02-01 00:00:00

  • Synovial sarcoma: a case report.

    abstract::A case of synovial sarcoma in a six year old boy is reported. A brief discussion of the tumor is also included. ...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19790901-06

    authors: Jazayeri M,Gallo G

    更新日期:1979-09-01 00:00:00

  • Slipped capital femoral epiphysis. An assessment of treatment modalities.

    abstract::Fifty-five patients underwent operative treatment of slipped capital femoral epiphyses at Children's Hospital Medical Center in Cincinnati, Ohio, between January 1975 and April 1980. Charts and x-rays were available for review in 45 of these patients with 68 affected hips; the incidence of bilaterality was 51%. Sixty-...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Bloom ML,Crawford AH

    更新日期:1985-01-01 00:00:00

  • Hemodynamically unstable pelvic fracture management by advanced trauma life support guidelines results in high mortality.

    abstract::The purpose of this study was to examine the acute outcomes and mortality rates of an Advanced Trauma Life Support guideline approach for managing hemodynamically unstable pelvic ring injuries. We retrospectively reviewed the acute outcomes of 48 consecutive patients with hemodynamically unstable pelvic fractures. Pat...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120222-29

    authors: Hou Z,Smith WR,Strohecker KA,Bowen TR,Irgit K,Baro SM,Morgan SJ

    更新日期:2012-03-07 00:00:00

  • Unicompartmental and total knee arthroplasty in the over 70 population.

    abstract::This retrospective study compares the short-term outcomes of small-incision unicompartmental knee arthroplasty (41 patients) with standard total knee arthroplasty (TKA) (50 patients) in 91 consecutive patients older than 70 years. Knee Society Scores and range of motion (ROM) were assessed preoperatively, at 6 weeks a...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100722-05

    authors: Fisher DA,Dalury DF,Adams MJ,Shipps MR,Davis K

    更新日期:2010-09-07 00:00:00

  • Fixation of multifragmentary patella fractures using a bilateral fixed-angle plate.

    abstract::This biomechanical study is the first to compare 3 fixation methods-bilateral fixed-angle plate, modified anterior tension wiring, and cannulated lag screws with anterior tension wiring-in multifragmentary distal patella fractures. A T-shaped 3-part fracture simulating a multifragmentary articular distal patella fract...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20131021-29

    authors: Thelen S,Betsch M,Schneppendahl J,Grassmann J,Hakimi M,Eichler C,Windolf J,Wild M

    更新日期:2013-11-01 00:00:00

  • Clinical evaluation of rhBMP-2/ACS in orthopedic trauma: a progress report.

    abstract::Recombinant human bone morphogenetic protein-2 (rhBMP-2) is an osteoinductive protein that plays a pivotal role in bone growth and regeneration. Studies conducted in many mammalian species and, most recently, human clinical studies, have provided definitive evidence of the ability of rhBMP-2 to induce bone. The findin...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Riedel GE,Valentin-Opran A

    更新日期:1999-07-01 00:00:00

  • Addition of hand-blended generic tobramycin in bone cement: effect on mechanical strength.

    abstract::This study compared the mechanical strength of commercially prepared antibiotic bone cement (Simplex With Tobramycin; Stryker, Mahwah, NJ), cement with generic tobramycin (Pharma-Tek, Huntington, NY) blended in by the orthopedic nursing staff, and standard nonantibiotic bone cement. The results showed an approximate 3...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: DeLuise M,Scott CP

    更新日期:2004-12-01 00:00:00

  • Acute fractures of the femoral neck managed by total hip replacement.

    abstract::The criteria for the management of patients with femoral neck fractures by internal fixation, hemiarthroplasty, or total hip replacement are becoming better defined. Our experience in 111 cases indicates that total hip arthroplasty has a definite role if the cases are carefully selected. The main indication is a high-...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Sim FH,Sigmond ER

    更新日期:1986-01-01 00:00:00

  • Clinical Characteristics and Long-term Outcomes After Septic Arthritis of the Native Glenohumeral Joint: A 20-Year Retrospective Review.

    abstract::Septic arthritis of the native glenohumeral joint is rare, and there is little information available regarding the natural progression and long-term joint outcomes of this pathology. The authors performed a retrospective analysis of 97 patients with culture-positive glenohumeral septic arthritis between 1995 and 2015 ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20181227-01

    authors: Sweet MC,Sheena GJ,Liu S,Fisk FE,Lynch JR,Muh SJ

    更新日期:2019-01-01 00:00:00

  • Total hip arthroplasty in patients with dwarfism.

    abstract::Skeletal dysplasia or dwarfism presents in a host of manners. Degenerative hip disease can present as a primary problem secondary to the abnormal growth disturbance or secondarily from the abnormal load distributions through the hip joint itself. Total hip arthroplasty is a successful procedure but sought with increas...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Sekundiak TD

    更新日期:2005-09-01 00:00:00

  • Quadricepsplasty: the Judet technique and results of 21 posttraumatic cases.

    abstract::Twenty-one quadricepsplasty procedures were carried out on 21 patients over a 14-year period due to posttraumatic stiffness of the knee joint. Three patients (14.2%) required mobilization under anesthesia in the early postoperative period. The average interval between injury and quadricepsplasty was 18 months (range: ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Merchan EC,Myong C

    更新日期:1992-09-01 00:00:00

  • Expanded spectrum of organisms causing osteomyelitis after puncture wounds of the foot.

    abstract::Although there is a general awareness developing about the role of Pseudomonas aeruginosa in producing osteomyelitis following puncture wounds of the foot, it is not generally appreciated that other organisms may gain access to the bones of the foot following penetrating injuries. This paper addresses two additional c...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19810501-04

    authors: Congeni BL,Weiner DS,Izsak E

    更新日期:1981-05-01 00:00:00

  • Soft-tissue chondroma.

    abstract::Soft-tissue chondromas are rare and benign soft-tissue tumors. Over 95% occur in the hands and feet. They are seen in both sexes equally and mainly occur in patients aged 30-60 years. If excised fully, they do not reoccur, and no cases in the literature have reported malignant transformations. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20070301-13

    authors: Gentles C,Perin J,Berrey H,Griffiths HJ

    更新日期:2007-03-01 00:00:00

  • Current indications for and the technique of wrist arthroscopy.

    abstract::Since its introduction more than 30 years ago, wrist arthroscopy has become an essential diagnostic and therapeutic tool in hand surgery. This procedure minimizes exposures and allows access to otherwise remotely located anatomic regions with minimal morbidity. Advances in anatomic understanding and wrist scope techno...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140401-07

    authors: Wagner J,Ipaktchi K,Livermore M,Banegas R

    更新日期:2014-04-01 00:00:00

  • Deep vein thrombosis prophylaxis in the outpatient setting: preventing complications following hospital discharge.

    abstract::Venous thromboembolism is an important complication in patients undergoing major orthopedic surgery. Without prophylaxis, there is a 50% to 60% incidence of deep vein thrombosis (DVT), a 10% to 30% incidence of proximal vein thrombosis, and a 1% to 2% rate of fatal pulmonary embolism after total hip replacement. The i...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Turpie AG

    更新日期:1995-07-01 00:00:00

  • Extraperiosteal toe phalanx transfer for congenital aphalangia: refinement of technique.

    abstract::Toe phalanges with attached periosteum can be transferred to hands with congenital aphalangia, constructing rudimentary digits with growth potential. Using a volar technique, rather than the traditional dorsal method, allows stabilization of the constructed metacarpophalangeal joint and maximizes flexor function. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Toby EB,Koman LA,Poehling GG

    更新日期:1990-12-01 00:00:00

  • Malignant granular cell tumor of the thigh.

    abstract::Malignant granular cell tumor is a rare neural tumor characterized by abundant granular-appearing tumor cells. These tumors account for <2% of all granular cell tumors. Unlike its benign counterpart, a malignant granular cell tumor presents primarily in the lower limb and is notably larger. Both the uncommon occurrenc...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110627-31

    authors: Hwang JS,Beebe KS,Rojas J,Peters SR

    更新日期:2011-08-08 00:00:00

  • Clavicle fracture with thoracic penetration and hemopneumothorax but without neurovascular compromise.

    abstract::Clavicle fractures are rarely associated with more severe neurologic or vascular injuries. When these associated injuries are encountered, prompt recognition and treatment are paramount to optimize outcome. The majority of fractures that result in neurovascular compromise are from high-energy trauma; however, a high i...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110826-31

    authors: Tjoumakaris FP,Matzon JL,Williams GR

    更新日期:2011-10-05 00:00:00

  • Biomechanical studies on framework and insertion of pins of external fixation.

    abstract::Compression, moment, and shear forces were loaded onto models of a long tubular bone with comminuted fracture fixed with external fixation using several pins and frameworks. Stabilities were compared by finite element method. For the unstable fracture, stability in all directions is necessary. The selection of pins an...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19840401-18

    authors: Oonishi H,Tatsumi M,Hasegawa T

    更新日期:1984-04-01 00:00:00

  • Nonligamentous Soft Tissue Pathology About the Knee: A Review.

    abstract::Knee pain is one of the most frequent complaints evaluated by orthopedic surgeons. It encompasses a broad range of pathology and can present in a variety of ways. Most of this pain can be attributed to essential structures of the knee, including the menisci, cruciate or collateral ligaments, and articular cartilage. H...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20151218-06

    authors: Erickson BJ,Campbell K,Cvetanovich GL,Harris JD,Bach BR Jr,Sherman SL

    更新日期:2016-01-01 00:00:00

  • Analysis of the mechanical properties of locking plates with and without screw hole inserts.

    abstract::The purpose of this study was to determine if the use of screw hole inserts in empty locking screw holes improves the strength and failure characteristics of locking plates. Twenty 5-hole 1/3 tubular locking plates (Synthes, Paoli, Pennsylvania) were mounted on an oak dowel with a 1-cm gap simulating a fracture with c...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20101123-13

    authors: Eichinger JK,Herzog JP,Arrington ED

    更新日期:2011-01-03 00:00:00

  • Rifamycin SV in the Treatment of Knee Synovitis.

    abstract::Rifamycin SV, injected intraarticularly at dosages of 500 mg weekly, induced a complete removal of persistent knee effusions in 57 of 60 rheumatoid patients, and in all patients with effusions due to juvenile rheumatoid arthritis (three), ankylosing spondylitis (three), psoriatic arthritis (10), intermittent hydrarthr...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19821001-10

    authors: Caruso I,Montrone F,Fumagalli M,Patrono C,Boselli P,Scrollini F

    更新日期:1982-10-01 00:00:00

  • The role of hip location and dislocation in the functional status of the myelodysplastic patient. A review of 100 patients.

    abstract::One hundred patients 10 years of age or older with myelodysplasia were evaluated to compare located versus dislocated hips with regard to neurologic level, ambulation, hip pain, skin condition, and spinal deformity. Operated and nonoperated individuals were compared. Analysis was carried out to determine what the over...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Crandall RC,Birkebak RC,Winter RB

    更新日期:1989-05-01 00:00:00

  • Knee arthroscopy with local anesthesia in ambulatory patients. Methods, results and patient compliance.

    abstract::Knee arthroscopy in locally anesthetized ambulatory patients has been performed by filling the knee joint with 50 ml to 60 ml of 0.5% prilocaine, with adrenaline and with additional local infiltration at the sites of puncture. During the arthroscopic procedure the joint cavity is further distended with a mixture of th...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Eriksson E,Häggmark T,Saartok T,Sebik A,Ortengren B

    更新日期:1986-02-01 00:00:00

  • Gunshot fractures: a medical, social, and economic analysis.

    abstract::One hundred ten fractures due to gunshots were reviewed to examine the medical, social, and financial implants of such injuries. The population was predominantly male (91%), unemployed (56%), and uninsured (79%). Sixty-eight percent were documented substance abusers, and 65% of the injuries appeared to be related to i...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Hakanson R,Nussman D,Gorman RA,Kellam JF,Hanley EN Jr

    更新日期:1994-06-01 00:00:00

  • Surgical treatment of posterior cruciate ligament insufficiency in the United States.

    abstract::The purpose of this study was to investigate the latest trends and demographics of surgical treatment of posterior cruciate ligament (PCL) insufficiency in the United States. Patients who underwent surgical treatment of PCL insufficiency from 2007 to 2011 were identified by searching the International Classification o...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150402-55

    authors: Wang D,Berger N,Cohen JR,Lord EL,Wang JC,Hame SL

    更新日期:2015-04-01 00:00:00

  • Cost-effectiveness of MRI to assess for posttraumatic ligamentous cervical spine injury.

    abstract::Magnetic resonance imaging (MRI) has been shown to be sensitive in identifying ligamentous injury to the cervical spine. The major drawbacks to its routine use are cost and availability. The purpose of this study was to compare the cost of using MRI to rule out ligamentous injury of the cervical spine with the cost of...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140124-16

    authors: Murphy JM,Park P,Patel RD

    更新日期:2014-02-01 00:00:00

  • Pain control infusion pumps: a prospective randomized evaluation in bilateral total knee arthroplasty.

    abstract::We prospectively monitored pain scores on 24 patients who underwent bilateral total knee arthroplasty (TKA). Patients were blinded to receiving either a functional or placebo pain control infusion pumps. After 3 days, pump volume was recorded, and patients were asked to identify which knee they believed received the f...

    journal_title:Orthopedics

    pub_type: 杂志文章,随机对照试验

    doi:10.3928/01477447-20110124-18

    authors: Argintar E,Armstrong B,Zawadsky M,Evans B,Romness D

    更新日期:2011-03-01 00:00:00