Long-term results of ankle and triple arthrodeses fixed with self-reinforced polylevolactic acid implants in patients with rheumatoid arthritis
Self-reinforcing polylevolactic acid (SR-PLLA) implants have been used in arthrodeses of patients with rheumatoid arthritis. No long-term evaluation has been published so far. Two patients (three ankles) with destruction of the ankle joint and seven with destruction of the subtalar joint received te...
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| Veröffentlicht in: | Rheumatology international 2001-08, Vol.20 (6), p.229-234 |
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| creator | VOUTILAINEN, N PÄTIÄLÄ, H JUUTILAINEN, T PARTIO, E. K ROKKANEN, P |
| description | Self-reinforcing polylevolactic acid (SR-PLLA) implants have been used in arthrodeses of patients with rheumatoid arthritis. No long-term evaluation has been published so far. Two patients (three ankles) with destruction of the ankle joint and seven with destruction of the subtalar joint received ten arthrodeses. One out of three ankle arthrodeses healed and nonunion developed in two. Five out of seven triple arthrodeses attained bony union. Two patients with malunion of the subtalar and talonavicular joints are free of symptoms and need no reoperation. One superficial wound infection healed by oral antibiotics. In one patient, an ankle arthrodesis was performed 6 years after the triple arthrodesis of the left foot. SR-PLLA implants can be used in triple arthrodesis in rheumatoid arthritic patients with good results comparable to those of other studies. The problems with nonunion of ankle arthrodeses noticed in former studies are also attributable to this fixation method. |
| doi_str_mv | 10.1007/s002960100110 |
| format | Article |
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SR-PLLA implants can be used in triple arthrodesis in rheumatoid arthritic patients with good results comparable to those of other studies. 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K</creatorcontrib><creatorcontrib>ROKKANEN, P</creatorcontrib><title>Long-term results of ankle and triple arthrodeses fixed with self-reinforced polylevolactic acid implants in patients with rheumatoid arthritis</title><title>Rheumatology international</title><addtitle>Rheumatol Int</addtitle><description>Self-reinforcing polylevolactic acid (SR-PLLA) implants have been used in arthrodeses of patients with rheumatoid arthritis. No long-term evaluation has been published so far. Two patients (three ankles) with destruction of the ankle joint and seven with destruction of the subtalar joint received ten arthrodeses. One out of three ankle arthrodeses healed and nonunion developed in two. Five out of seven triple arthrodeses attained bony union. Two patients with malunion of the subtalar and talonavicular joints are free of symptoms and need no reoperation. One superficial wound infection healed by oral antibiotics. In one patient, an ankle arthrodesis was performed 6 years after the triple arthrodesis of the left foot. SR-PLLA implants can be used in triple arthrodesis in rheumatoid arthritic patients with good results comparable to those of other studies. The problems with nonunion of ankle arthrodeses noticed in former studies are also attributable to this fixation method.</description><subject>Absorbable Implants</subject><subject>Adult</subject><subject>Aged</subject><subject>Ankle</subject><subject>Ankle Joint - physiopathology</subject><subject>Ankle Joint - surgery</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Arthrodesis - methods</subject><subject>Biocompatible Materials</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Foot Deformities, Acquired - diagnosis</subject><subject>Foot Deformities, Acquired - surgery</subject><subject>Humans</subject><subject>Joint Prosthesis</subject><subject>Lactic Acid - analogs & derivatives</subject><subject>Lactic Acid - therapeutic use</subject><subject>Male</subject><subject>Materials Testing</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Pain Measurement</subject><subject>Polymers - therapeutic use</subject><subject>Prescription drugs</subject><subject>Range of Motion, Articular</subject><subject>Rheumatoid arthritis</subject><subject>Severity of Illness Index</subject><subject>Surgery (general aspects). 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K ; ROKKANEN, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c303t-ac39cd3fb3ad4f3e650f252f74a4632d2a4126184a9d2a60ce660c88be3d154e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Absorbable Implants</topic><topic>Adult</topic><topic>Aged</topic><topic>Ankle</topic><topic>Ankle Joint - physiopathology</topic><topic>Ankle Joint - surgery</topic><topic>Arthritis, Rheumatoid - diagnosis</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Arthrodesis - methods</topic><topic>Biocompatible Materials</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Foot Deformities, Acquired - diagnosis</topic><topic>Foot Deformities, Acquired - surgery</topic><topic>Humans</topic><topic>Joint Prosthesis</topic><topic>Lactic Acid - analogs & derivatives</topic><topic>Lactic Acid - therapeutic use</topic><topic>Male</topic><topic>Materials Testing</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Pain Measurement</topic><topic>Polymers - therapeutic use</topic><topic>Prescription drugs</topic><topic>Range of Motion, Articular</topic><topic>Rheumatoid arthritis</topic><topic>Severity of Illness Index</topic><topic>Surgery (general aspects). 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Two patients with malunion of the subtalar and talonavicular joints are free of symptoms and need no reoperation. One superficial wound infection healed by oral antibiotics. In one patient, an ankle arthrodesis was performed 6 years after the triple arthrodesis of the left foot. SR-PLLA implants can be used in triple arthrodesis in rheumatoid arthritic patients with good results comparable to those of other studies. The problems with nonunion of ankle arthrodeses noticed in former studies are also attributable to this fixation method.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11563581</pmid><doi>10.1007/s002960100110</doi><tpages>6</tpages></addata></record> |
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| subjects | Absorbable Implants Adult Aged Ankle Ankle Joint - physiopathology Ankle Joint - surgery Arthritis, Rheumatoid - diagnosis Arthritis, Rheumatoid - surgery Arthrodesis - methods Biocompatible Materials Biological and medical sciences Female Follow-Up Studies Foot Deformities, Acquired - diagnosis Foot Deformities, Acquired - surgery Humans Joint Prosthesis Lactic Acid - analogs & derivatives Lactic Acid - therapeutic use Male Materials Testing Medical sciences Middle Aged Orthopedic surgery Pain Measurement Polymers - therapeutic use Prescription drugs Range of Motion, Articular Rheumatoid arthritis Severity of Illness Index Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | Long-term results of ankle and triple arthrodeses fixed with self-reinforced polylevolactic acid implants in patients with rheumatoid arthritis |
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