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Arthroprosthesis of the ankle joint
Italian Journal of Orthopaedics and Traumatology
|April 1, 1981
Summary
Ankle joint arthroplasty using various prostheses yielded satisfactory outcomes in eleven of twelve patients. This study evaluated surgical interventions for severe degenerative lesions, rheumatoid arthritis, and talar necrosis.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Severe ankle joint damage from trauma, rheumatoid arthritis, or talar necrosis often necessitates surgical intervention.
- Arthroplasty offers a potential solution for pain relief and functional restoration in debilitating ankle conditions.
Purpose of the Study:
- To evaluate the clinical outcomes of ankle joint arthroplasty in patients with severe degenerative conditions.
- To assess the efficacy of different prosthesis designs and surgical approaches for ankle joint replacement.
Main Methods:
- Retrospective analysis of twelve patients undergoing ankle arthroplasty.
- Utilized St. Georg-Buchholz, Smith, and TPR prosthesis designs.
- An antero-medial surgical approach was predominantly employed.
Main Results:
- Overall satisfactory results were achieved in eleven out of twelve patients.
- Eight excellent, three fair, and one negative outcome were reported at follow-up (1-2.5 years).
- One case of failure was associated with the surgical approach involving fibular osteotomy.
Conclusions:
- Ankle joint arthroplasty demonstrates a high success rate for severe ankle pathologies.
- The choice of prosthesis and surgical approach may influence outcomes, with potential complications noted.