Total ankle replacement in patients with end-stage ankle osteoarthritis: Clinical results and kinetic gait analysis
Abstract Background Total ankle arthroplasty is being used more frequently as an alternative for arthrodesis in final stages of ankle osteoarthritis. However, there are few studies which describe the biomechanics of gait of these patients. Methods Between March 2006 and May 2011, 17 patients ( n = 1...
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Veröffentlicht in: | Foot and ankle surgery 2014-09, Vol.20 (3), p.195-200 |
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creator | Roselló Añón, Alejandro, MD Martinez Garrido, Ignacio, MD Cervera Deval, Juan, MD Herrero Mediavilla, Daniel, MD Sánchez González, María, MD Vicent Carsí, Vicente, MD |
description | Abstract Background Total ankle arthroplasty is being used more frequently as an alternative for arthrodesis in final stages of ankle osteoarthritis. However, there are few studies which describe the biomechanics of gait of these patients. Methods Between March 2006 and May 2011, 17 patients ( n = 18 ankles) suffering end-stage osteoarthritis of the ankle who underwent an ankle replacement (HINTEGRA) were evaluated retrospectively. We evaluated clinical, radiological and biomechanical gait parameters using the NedAMH/IBV dynamometric platform. Results At last follow-up (average: 37 months), the AOFAS score improved from 31 to 83 with a high rate of satisfaction (83.3%). Kinetic gait parameters were more similar to a healthy ankle. We detected a radiolucent line in 8 patients (44%) without any subsidence case. Conclusions Our study showed a high rate of satisfaction and biomechanics of the gait similar to a healthy ankle. The complication rate was analogous to those previously published in the literature. |
doi_str_mv | 10.1016/j.fas.2014.04.002 |
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However, there are few studies which describe the biomechanics of gait of these patients. Methods Between March 2006 and May 2011, 17 patients ( n = 18 ankles) suffering end-stage osteoarthritis of the ankle who underwent an ankle replacement (HINTEGRA) were evaluated retrospectively. We evaluated clinical, radiological and biomechanical gait parameters using the NedAMH/IBV dynamometric platform. Results At last follow-up (average: 37 months), the AOFAS score improved from 31 to 83 with a high rate of satisfaction (83.3%). Kinetic gait parameters were more similar to a healthy ankle. We detected a radiolucent line in 8 patients (44%) without any subsidence case. Conclusions Our study showed a high rate of satisfaction and biomechanics of the gait similar to a healthy ankle. The complication rate was analogous to those previously published in the literature.</description><identifier>ISSN: 1268-7731</identifier><identifier>EISSN: 1460-9584</identifier><identifier>DOI: 10.1016/j.fas.2014.04.002</identifier><identifier>PMID: 25103708</identifier><language>eng</language><publisher>France: Elsevier Ltd</publisher><subject>Adult ; Aged ; Ankle ; Ankle Joint ; Arthroplasty ; Arthroplasty, Replacement, Ankle ; Female ; Follow-Up Studies ; Gait - physiology ; Hintegra ; Humans ; Kinetic gait analysis ; Male ; Middle Aged ; Orthopedics ; Osteoarthritis - pathology ; Osteoarthritis - physiopathology ; Osteoarthritis - surgery ; Patient Satisfaction ; Range of Motion, Articular - physiology ; Recovery of Function ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Foot and ankle surgery, 2014-09, Vol.20 (3), p.195-200</ispartof><rights>European Foot and Ankle Society</rights><rights>2014 European Foot and Ankle Society</rights><rights>Copyright © 2014 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-6dbc3ae9592650ea0992c31a341beaad6bfd5d90cad097b7d571c18ccf29a02d3</citedby><cites>FETCH-LOGICAL-c478t-6dbc3ae9592650ea0992c31a341beaad6bfd5d90cad097b7d571c18ccf29a02d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fas.2014.04.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25103708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roselló Añón, Alejandro, MD</creatorcontrib><creatorcontrib>Martinez Garrido, Ignacio, MD</creatorcontrib><creatorcontrib>Cervera Deval, Juan, MD</creatorcontrib><creatorcontrib>Herrero Mediavilla, Daniel, MD</creatorcontrib><creatorcontrib>Sánchez González, María, MD</creatorcontrib><creatorcontrib>Vicent Carsí, Vicente, MD</creatorcontrib><title>Total ankle replacement in patients with end-stage ankle osteoarthritis: Clinical results and kinetic gait analysis</title><title>Foot and ankle surgery</title><addtitle>Foot Ankle Surg</addtitle><description>Abstract Background Total ankle arthroplasty is being used more frequently as an alternative for arthrodesis in final stages of ankle osteoarthritis. However, there are few studies which describe the biomechanics of gait of these patients. Methods Between March 2006 and May 2011, 17 patients ( n = 18 ankles) suffering end-stage osteoarthritis of the ankle who underwent an ankle replacement (HINTEGRA) were evaluated retrospectively. We evaluated clinical, radiological and biomechanical gait parameters using the NedAMH/IBV dynamometric platform. Results At last follow-up (average: 37 months), the AOFAS score improved from 31 to 83 with a high rate of satisfaction (83.3%). Kinetic gait parameters were more similar to a healthy ankle. We detected a radiolucent line in 8 patients (44%) without any subsidence case. Conclusions Our study showed a high rate of satisfaction and biomechanics of the gait similar to a healthy ankle. The complication rate was analogous to those previously published in the literature.</description><subject>Adult</subject><subject>Aged</subject><subject>Ankle</subject><subject>Ankle Joint</subject><subject>Arthroplasty</subject><subject>Arthroplasty, Replacement, Ankle</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gait - physiology</subject><subject>Hintegra</subject><subject>Humans</subject><subject>Kinetic gait analysis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis - pathology</subject><subject>Osteoarthritis - physiopathology</subject><subject>Osteoarthritis - surgery</subject><subject>Patient Satisfaction</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1268-7731</issn><issn>1460-9584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-P0zAQxS0EYpfCB-CCcuSSMraTOAEJaVXxT1qJA8vZmtiTXbdpUjwOqN8eVy0cOGCN5NHovSfNb4R4KWEtQTZvtusBea1AVmvIBeqRuJZVA2VXt9Xj3KumLY3R8ko8Y94CgOlAPxVXqpagDbTXgu_mhGOB026kItJhREd7mlIRpuKAKeSWi18hPRQ0-ZIT3tNFPHOiGWN6iCEFfltsxjAFl7Mi8TJmF06-2IWJUnDFPYaUBzgeOfBz8WTAkenF5V-J7x8_3G0-l7dfP33Z3NyWrjJtKhvfO43U1Z1qaiCErlNOS9SV7AnRN_3ga9-BQw-d6Y2vjXSydW5QHYLyeiVen3MPcf6xECe7D-xoHHGieWEr61ppU-n8VkKepS7OzJEGe4hhj_FoJdgTa7u1mbU9sbaQC1T2vLrEL_2e_F_HH7hZ8O4soLzkz0DRsstAHfkQySXr5_Df-Pf_uN2F8I6OxNt5iZln3sKysmC_nY59urWs8p2ryujf4_WmYg</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Roselló Añón, Alejandro, MD</creator><creator>Martinez Garrido, Ignacio, MD</creator><creator>Cervera Deval, Juan, MD</creator><creator>Herrero Mediavilla, Daniel, MD</creator><creator>Sánchez González, María, MD</creator><creator>Vicent Carsí, Vicente, MD</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Total ankle replacement in patients with end-stage ankle osteoarthritis: Clinical results and kinetic gait analysis</title><author>Roselló Añón, Alejandro, MD ; Martinez Garrido, Ignacio, MD ; Cervera Deval, Juan, MD ; Herrero Mediavilla, Daniel, MD ; Sánchez González, María, MD ; Vicent Carsí, Vicente, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-6dbc3ae9592650ea0992c31a341beaad6bfd5d90cad097b7d571c18ccf29a02d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ankle</topic><topic>Ankle Joint</topic><topic>Arthroplasty</topic><topic>Arthroplasty, Replacement, Ankle</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gait - physiology</topic><topic>Hintegra</topic><topic>Humans</topic><topic>Kinetic gait analysis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis - pathology</topic><topic>Osteoarthritis - physiopathology</topic><topic>Osteoarthritis - surgery</topic><topic>Patient Satisfaction</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roselló Añón, Alejandro, MD</creatorcontrib><creatorcontrib>Martinez Garrido, Ignacio, MD</creatorcontrib><creatorcontrib>Cervera Deval, Juan, MD</creatorcontrib><creatorcontrib>Herrero Mediavilla, Daniel, MD</creatorcontrib><creatorcontrib>Sánchez González, María, MD</creatorcontrib><creatorcontrib>Vicent Carsí, Vicente, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roselló Añón, Alejandro, MD</au><au>Martinez Garrido, Ignacio, MD</au><au>Cervera Deval, Juan, MD</au><au>Herrero Mediavilla, Daniel, MD</au><au>Sánchez González, María, MD</au><au>Vicent Carsí, Vicente, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Total ankle replacement in patients with end-stage ankle osteoarthritis: Clinical results and kinetic gait analysis</atitle><jtitle>Foot and ankle surgery</jtitle><addtitle>Foot Ankle Surg</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>20</volume><issue>3</issue><spage>195</spage><epage>200</epage><pages>195-200</pages><issn>1268-7731</issn><eissn>1460-9584</eissn><abstract>Abstract Background Total ankle arthroplasty is being used more frequently as an alternative for arthrodesis in final stages of ankle osteoarthritis. However, there are few studies which describe the biomechanics of gait of these patients. Methods Between March 2006 and May 2011, 17 patients ( n = 18 ankles) suffering end-stage osteoarthritis of the ankle who underwent an ankle replacement (HINTEGRA) were evaluated retrospectively. We evaluated clinical, radiological and biomechanical gait parameters using the NedAMH/IBV dynamometric platform. Results At last follow-up (average: 37 months), the AOFAS score improved from 31 to 83 with a high rate of satisfaction (83.3%). Kinetic gait parameters were more similar to a healthy ankle. We detected a radiolucent line in 8 patients (44%) without any subsidence case. Conclusions Our study showed a high rate of satisfaction and biomechanics of the gait similar to a healthy ankle. The complication rate was analogous to those previously published in the literature.</abstract><cop>France</cop><pub>Elsevier Ltd</pub><pmid>25103708</pmid><doi>10.1016/j.fas.2014.04.002</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Aged Ankle Ankle Joint Arthroplasty Arthroplasty, Replacement, Ankle Female Follow-Up Studies Gait - physiology Hintegra Humans Kinetic gait analysis Male Middle Aged Orthopedics Osteoarthritis - pathology Osteoarthritis - physiopathology Osteoarthritis - surgery Patient Satisfaction Range of Motion, Articular - physiology Recovery of Function Retrospective Studies Treatment Outcome |
title | Total ankle replacement in patients with end-stage ankle osteoarthritis: Clinical results and kinetic gait analysis |
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