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Medial impingement after ankle replacement.

Harish V Kurup1, Graeme R Taylor

  • 1Royal Glamorgan Hospital, Llantrisant, UK. harishvk@yahoo.com

International Orthopaedics
|January 9, 2007
PubMed
Summary
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Ankle replacement surgery is a viable option for arthritis, but medial impingement complications can occur. Some patients require revision surgery due to this issue.

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Reconstructive surgery

Background:

  • Ankle replacement offers an alternative to fusion for ankle arthritis.
  • Mobile-bearing designs have improved ankle replacement outcomes.
  • Minor complications are common but often do not impact long-term results.

Purpose of the Study:

  • To evaluate the outcomes of Buechel-Pappas total ankle replacements.
  • To assess complications, particularly medial impingement, and their management.
  • To analyze patient satisfaction and surgeon learning curve.

Main Methods:

  • Retrospective review of 34 Buechel-Pappas ankle replacements.
  • Analysis of American Orthopaedic Foot and Ankle Society (AOFAS) scores, Visual Analog Scale (VAS) scores, and patient satisfaction.

Related Experiment Videos

  • Documentation of complications, including medial impingement and need for revision surgery.

    • Main Results:

    • Eight of 34 patients reported medial impingement symptoms.
    • Four patients required revision surgery due to medial impingement.
    • The study identified medial impingement as a notable complication requiring potential intervention.

    Conclusions:

    • Ankle replacement, particularly with mobile bearings, is effective for arthritis.
    • Medial impingement is a significant complication requiring further investigation into its causes.
    • While revision surgery may be necessary for medial impingement, ankle replacement remains a valuable treatment option.