Total Ankle Arthroplasty
Category: Ankle, Ankle Arthritis Introduction/Purpose: Total Ankle Arthroplasty has been introduced relatively late in the modern era in comparison to hip and knee replacement. it suffered from poor outcomes initially leading to abandonment of the procedure in favour of ankle arthrodesis. The reason...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-09-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011417S000172 |
| _version_ | 1819100159860015104 |
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| author | Ara Francis MB BCh Robert Flavin MD Khalid Merghani Saleh Mohammed FRCS Orth Yasser Aljabi MRCS |
| author_facet | Ara Francis MB BCh Robert Flavin MD Khalid Merghani Saleh Mohammed FRCS Orth Yasser Aljabi MRCS |
| author_sort | Ara Francis MB BCh |
| collection | DOAJ |
| description | Category: Ankle, Ankle Arthritis Introduction/Purpose: Total Ankle Arthroplasty has been introduced relatively late in the modern era in comparison to hip and knee replacement. it suffered from poor outcomes initially leading to abandonment of the procedure in favour of ankle arthrodesis. The reasons for failure have been debated in the literature. The development of second generation implants, consisting of a three component design, has heralded a new era for Total Ankle Arthoplasty. The purpose of this study was to perform a biomechanical analysis of three commercially available Total Ankle Arthroplasty implants and a literature review to shed light on mechanisms of failure. Methods: Three commercially available ankle arthroplasty (STAR, Hintegra, Mobility) implants were tested using a specifically designed ankle simulator which replicated plantarflexion/ dorsiflexion and inversion/eversion movements. Different loads were applied to the implants which were put through 50,000 cycles at a rate of 1.4 Hz and bearings were removed for inspection. The followoing were conducted before, during and after testing - Visual inspection, Weight of implant, Optical Profile Projector and Scanning Electron Microscopy. A literature review was also performed to compare and contrast results seen elsewhere. Results: Biomechanical analysis revealed loss of congruency and wear of the polymer bearing surfaces with varying degrees across the three implants - STAR 7%, Hintegra 10% and Mobility 4%. This is supported by evidence in the literature that STAR and Hintegra implants suffer considerably from flattening of the polymer bearing surfaces and subsequent decrease in height. Conclusion: The above biomechanical analysis and literature review of these implants supports our senior author’s clinical experience that the main reason for failure is medial insufficiency and tibialis posterior dysfuction that cause increased demand on the implants ultimately leading to implant failure. |
| first_indexed | 2024-12-22T00:58:21Z |
| format | Article |
| id | doaj.art-2a921389b23e4e3986d90ea149594c89 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-22T00:58:21Z |
| publishDate | 2017-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-2a921389b23e4e3986d90ea149594c892022-12-21T18:44:15ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142017-09-01210.1177/2473011417S000172Total Ankle ArthroplastyAra Francis MB BChRobert Flavin MDKhalid Merghani Saleh Mohammed FRCS OrthYasser Aljabi MRCSCategory: Ankle, Ankle Arthritis Introduction/Purpose: Total Ankle Arthroplasty has been introduced relatively late in the modern era in comparison to hip and knee replacement. it suffered from poor outcomes initially leading to abandonment of the procedure in favour of ankle arthrodesis. The reasons for failure have been debated in the literature. The development of second generation implants, consisting of a three component design, has heralded a new era for Total Ankle Arthoplasty. The purpose of this study was to perform a biomechanical analysis of three commercially available Total Ankle Arthroplasty implants and a literature review to shed light on mechanisms of failure. Methods: Three commercially available ankle arthroplasty (STAR, Hintegra, Mobility) implants were tested using a specifically designed ankle simulator which replicated plantarflexion/ dorsiflexion and inversion/eversion movements. Different loads were applied to the implants which were put through 50,000 cycles at a rate of 1.4 Hz and bearings were removed for inspection. The followoing were conducted before, during and after testing - Visual inspection, Weight of implant, Optical Profile Projector and Scanning Electron Microscopy. A literature review was also performed to compare and contrast results seen elsewhere. Results: Biomechanical analysis revealed loss of congruency and wear of the polymer bearing surfaces with varying degrees across the three implants - STAR 7%, Hintegra 10% and Mobility 4%. This is supported by evidence in the literature that STAR and Hintegra implants suffer considerably from flattening of the polymer bearing surfaces and subsequent decrease in height. Conclusion: The above biomechanical analysis and literature review of these implants supports our senior author’s clinical experience that the main reason for failure is medial insufficiency and tibialis posterior dysfuction that cause increased demand on the implants ultimately leading to implant failure.https://doi.org/10.1177/2473011417S000172 |
| spellingShingle | Ara Francis MB BCh Robert Flavin MD Khalid Merghani Saleh Mohammed FRCS Orth Yasser Aljabi MRCS Total Ankle Arthroplasty Foot & Ankle Orthopaedics |
| title | Total Ankle Arthroplasty |
| title_full | Total Ankle Arthroplasty |
| title_fullStr | Total Ankle Arthroplasty |
| title_full_unstemmed | Total Ankle Arthroplasty |
| title_short | Total Ankle Arthroplasty |
| title_sort | total ankle arthroplasty |
| url | https://doi.org/10.1177/2473011417S000172 |
| work_keys_str_mv | AT arafrancismbbch totalanklearthroplasty AT robertflavinmd totalanklearthroplasty AT khalidmerghanisalehmohammedfrcsorth totalanklearthroplasty AT yasseraljabimrcs totalanklearthroplasty |