Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular Approach
Category: Ankle, Ankle Arthritis Introduction/Purpose: In the last two decades, total ankle replacement (TAR) has gained more acceptance as a treatment option in patients with end-stage ankle osteoarthritis. However, there is a lack of literature on TAR using a lateral transfibular approach. Therefo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-09-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011417S000107 |
| _version_ | 1818210327342350336 |
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| author | Alexej Barg MD Charles Saltzman MD |
| author_facet | Alexej Barg MD Charles Saltzman MD |
| author_sort | Alexej Barg MD |
| collection | DOAJ |
| description | Category: Ankle, Ankle Arthritis Introduction/Purpose: In the last two decades, total ankle replacement (TAR) has gained more acceptance as a treatment option in patients with end-stage ankle osteoarthritis. However, there is a lack of literature on TAR using a lateral transfibular approach. Therefore, we sought to report early clinical and radiographic results of a patient cohort treated with TAR using a lateral transfibular approach by a single surgeon. Methods: Fifty-five primary total ankle arthroplasties using the Zimmer trabecular metal implant were performed in 54 patients (29 men and 25 women; mean age, 67.0 years) from October 2012 to December 2014. Clinical assessment including pain evaluation and measurement of ankle range of motion was done preoperatively and at the latest follow-up. Weight-bearing radiographs were used to determine the angular alignment of the tibial and talar components and to analyze the bone-implant interface. Intraoperative and postoperative complications, revision surgeries, and failures were evaluated. Results: Implant survival was 93% at 36 months follow-up. There were 3 revisions of a tibial component due to aseptic loosening. In 10 of 55 procedures, a secondary procedure was performed during follow-up. Mean follow-up duration was 26.6 ± 4.2 months. No delayed union or non-union was observed for fibula healing. The average VAS pain score decreased significantly from 7.9 ± 1.3 to 0.8 ± 1.2. The average total range of motion increased significantly from 22.9° ± 11.8° to 40.2° ± 11.8°. Conclusion: Early results of Zimmer trabecular metal total ankle replacement demonstrated improved patient-reported outcomes and increased ankle motion at a minimum follow-up of one year. In the first 55 consecutive cases, the fibular osteotomy required for access to the ankle healed without complications. Painful early loosening requiring revision due to lack of bony ingrowth was seen in 3 of 55 cases. |
| first_indexed | 2024-12-12T05:14:50Z |
| format | Article |
| id | doaj.art-4740e7d34785446db9b3eebe682e42a7 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-12T05:14:50Z |
| publishDate | 2017-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-4740e7d34785446db9b3eebe682e42a72022-12-22T00:36:47ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142017-09-01210.1177/2473011417S000107Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular ApproachAlexej Barg MDCharles Saltzman MDCategory: Ankle, Ankle Arthritis Introduction/Purpose: In the last two decades, total ankle replacement (TAR) has gained more acceptance as a treatment option in patients with end-stage ankle osteoarthritis. However, there is a lack of literature on TAR using a lateral transfibular approach. Therefore, we sought to report early clinical and radiographic results of a patient cohort treated with TAR using a lateral transfibular approach by a single surgeon. Methods: Fifty-five primary total ankle arthroplasties using the Zimmer trabecular metal implant were performed in 54 patients (29 men and 25 women; mean age, 67.0 years) from October 2012 to December 2014. Clinical assessment including pain evaluation and measurement of ankle range of motion was done preoperatively and at the latest follow-up. Weight-bearing radiographs were used to determine the angular alignment of the tibial and talar components and to analyze the bone-implant interface. Intraoperative and postoperative complications, revision surgeries, and failures were evaluated. Results: Implant survival was 93% at 36 months follow-up. There were 3 revisions of a tibial component due to aseptic loosening. In 10 of 55 procedures, a secondary procedure was performed during follow-up. Mean follow-up duration was 26.6 ± 4.2 months. No delayed union or non-union was observed for fibula healing. The average VAS pain score decreased significantly from 7.9 ± 1.3 to 0.8 ± 1.2. The average total range of motion increased significantly from 22.9° ± 11.8° to 40.2° ± 11.8°. Conclusion: Early results of Zimmer trabecular metal total ankle replacement demonstrated improved patient-reported outcomes and increased ankle motion at a minimum follow-up of one year. In the first 55 consecutive cases, the fibular osteotomy required for access to the ankle healed without complications. Painful early loosening requiring revision due to lack of bony ingrowth was seen in 3 of 55 cases.https://doi.org/10.1177/2473011417S000107 |
| spellingShingle | Alexej Barg MD Charles Saltzman MD Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular Approach Foot & Ankle Orthopaedics |
| title | Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular Approach |
| title_full | Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular Approach |
| title_fullStr | Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular Approach |
| title_full_unstemmed | Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular Approach |
| title_short | Early Clinical and Radiographic Outcomes of Trabecular Metal Total Ankle Using Transfibular Approach |
| title_sort | early clinical and radiographic outcomes of trabecular metal total ankle using transfibular approach |
| url | https://doi.org/10.1177/2473011417S000107 |
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