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关于Exactech Vantage固定轴承全脚置换术的早期结果

Jensen K Henry¹, Isabel Shaffrey¹, Mark Wishman²

¹Foot and Ankle Surgery, Hospital for Special Surgery, New York, New York, USA.

The bone & joint journal

|September 30, 2023

概括

范达奇全关节系统的早期存活率与其他低调的植入物相美. 在这项早期经验研究中,部部件松动是修订的主要原因.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
植入物技术技术植入物技术

背景情况:

范特奇全脚系统是2016年推出的第四代低调固定轴承植入物.
了解早期的临床性能对于评估新的骨科植入物至关重要.

研究的目的:

描述早期的临床经验与Vantage全脚系统.
评估植入后两年的重新操作和修改率.
评估放射性对齐和患者报告的结果.

主要方法:

一个单一中心对168名接受Vantage植入物 (171个脚) 的患者进行了回顾性审查.
随访时间从2年到4.6年,平均为2.81年.
主要结局包括重新手术/修订率;次要结局包括放射学和患者报告的措施.

主要成果:

植入物失败发生在5.8%的脚中,主要是由于部部件松动.
在20.1%的病例中观察到无症状的周围植入物发光,主要在部位.
在所有领域,患者报告的结果指标都得到了显著改善.

结论:

短期结果表明,生存率与类似的低调,无茎脚植入物相美.
部件松动是早期修订的一个重要因素.
需要进行长期的随访,以充分评估植入物存活率.

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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...