Evaluating Component Migration After Modular Stem Fixed-Bearing Total Ankle Replacement

Brigido, Stephen A.; Wobst, Garrett M.; Galli, Melissa M.; Bleazey, Scott T.; Protzman, Nicole M.

doi:10.1053/j.jfas.2014.06.028

Cited by 13 publications

(20 citation statements)

References 24 publications

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“…The results showed that the mean INBONETM implant migration was 0.7 mm at 1 year and 1.0 mm at 2 years. Time and sex were significant predictors of implant migration [3].…”

Section: Loosening Of the Prosthesismentioning

confidence: 90%

“…While the incidence of severe ankle arthritis is clearly less than that of the hip or knee, OA of the ankle is a main cause of disability, which impairs functional mobility and leads to poor quality of life. Unlike the hip and knee joints, in which the primary causes of degeneration are primary OA and inflammatory diseases, 70-80% of ankle arthritis is post-traumatic and the remaining cases are related to primary OA and rheumatoid arthritis [1,2,3].…”

Section: Back Ground and Historymentioning

confidence: 99%

“…TAR has some disadvantages such as expensive cost, implant loosening, ankle instability, higher infection rate, and higher re-operation rate [6][7][8][9]. TAR remains a less satisfactory solution when compared to other joint replacements; however, TAR offers greater range of motion in the ankle with improved gait kinematics, reduced stress, and potentially causes less arthritis in adjacent joints [3]. In addition, with regards to cost-effectiveness analysis, TAR has better quality-adjusted life years when compared to arthrodesis, albeit at a higher cost [10].…”

Section: Back Ground and Historymentioning

confidence: 99%

“…Various ankle designs are available, including two-component and three-component systems [5]. After unacceptably high failure rates had been published for the first generation of implants [1][2][3][4][5], the second generation of implants achieved marked improvements in clinical outcomes [6][7][8]. Second-and third-generation prostheses followed these first implants, and interest in this procedure has resurged in the past decade.…”

Section: Prosthesis Designmentioning

confidence: 99%

“…For this reason, there is a trend of increasing indications; as such, clinical guidelines regarding implant migration must be established to ensure successful outcomes [3]. On the other hand, some patients might be younger and have higher physical demands, placing the damaged joint under increased stress [32].…”

Section: Indication and Contraindicationmentioning

confidence: 99%

See 4 more Smart Citations

The Current Trend of Total Ankle Replacement

Zhou¹,

Tang²

2016

Arthroplasty - A Comprehensive Review

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Total ankle replacement (TAR) was introduced for end-stage arthritis of the ankle joint in the 1970s. TAR is becoming the modality of choice and offers better mobility, improved gait, and reduces the development of subsequent subtalar joint arthritis when compared with ankle arthrodesis. To maintain the longest function of ankle replacements, the design of the prosthesis should allow for smooth and continuous interaction and normal gait. Improved operative techniques, the surgeon's experience, as well as appropriate patient selection can anticipate better outcomes. Deformities of the ankle and foot should be corrected before TAR is performed. Despite the functional limitations following the revision of TAR, the revision still offers a cost-effective alternative to ankle arthrodesis. The decision to treat with TAR depends on the surgeon's technique, as well as on the patient's condition.

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“…The results showed that the mean INBONETM implant migration was 0.7 mm at 1 year and 1.0 mm at 2 years. Time and sex were significant predictors of implant migration [3].…”

Section: Loosening Of the Prosthesismentioning

confidence: 90%

Section: Back Ground and Historymentioning

confidence: 99%