Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in China

Abstract. Background:. Total ankle replacement (TAR) is a viable option for the treatment of end-stage ankle arthritis. In China, the INBONE-II implant is the only total ankle prosthesis approved since 2016. The purpose of this study is to report a large sample of findings for the TAR with INBONE-II...

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Main Authors: Yong Wu, Hanyuan Yang, Xiangbin Guo, Hui Du, Xiaofeng Gong, Ningning Wang
Format: Article
Language:English
Published: Wolters Kluwer 2022-06-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000002192
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author Yong Wu
Hanyuan Yang
Xiangbin Guo
Hui Du
Xiaofeng Gong
Ningning Wang
author_facet Yong Wu
Hanyuan Yang
Xiangbin Guo
Hui Du
Xiaofeng Gong
Ningning Wang
author_sort Yong Wu
collection DOAJ
description Abstract. Background:. Total ankle replacement (TAR) is a viable option for the treatment of end-stage ankle arthritis. In China, the INBONE-II implant is the only total ankle prosthesis approved since 2016. The purpose of this study is to report a large sample of findings for the TAR with INBONE-II prosthesis. Methods:. A total of 64 patients with end-stage ankle arthritis, who underwent primary TAR using INBONE-II by the same surgeon from 2016 to 2019, at a single institution were included in this retrospective, single-center study. Clinical data, radiographic findings, survival rate, and complications were recorded and assessed pre-operatively and at the most recent follow-up. Results:. A total of 64 patients were available for follow-up at least 2 years after surgery; the mean follow-up duration for clinical outcomes was 37.9 months (24–59 months), and for radiographic findings was 22.8 months (12–59 months). There were significant improvements (P < 0.01) in the American Orthopedic Foot and Ankle Society hindfoot scale, the visual analog scale for pain, and the Short Form-36. There were statistically significant differences between pre-operative and post-operative comparisons of the talar tilt angle (TT) and the tibial lateral surface angle (TLS) in the radiographic findings (TT from 4.7 ± 4.3° to 1.3 ± 1.3°, TLS from 80.4 ± 7.7° to 87.4 ± 2.3°, P < 0.01). There was no statistically significant difference in improvement of the tibial anterior surface angle (P = 0.14). Ten complications (all low grade) were recorded according to the Glazebrook classification system. The survivorship of the prosthesis was 100% (64/64). Conclusion:. Patients who underwent TAR with INBONE-II prosthesis demonstrated significant improvements in all measures of pain and function as well as in radiographic findings. High survival and a low incidence of complications were observed in this study.
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spelling doaj.art-e66f681cbe044d4d898538de9fd3dfcc2022-12-22T03:50:25ZengWolters KluwerChinese Medical Journal0366-69992542-56412022-06-01135121459146510.1097/CM9.0000000000002192202206200-00011Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in ChinaYong WuHanyuan YangXiangbin GuoHui DuXiaofeng GongNingning WangAbstract. Background:. Total ankle replacement (TAR) is a viable option for the treatment of end-stage ankle arthritis. In China, the INBONE-II implant is the only total ankle prosthesis approved since 2016. The purpose of this study is to report a large sample of findings for the TAR with INBONE-II prosthesis. Methods:. A total of 64 patients with end-stage ankle arthritis, who underwent primary TAR using INBONE-II by the same surgeon from 2016 to 2019, at a single institution were included in this retrospective, single-center study. Clinical data, radiographic findings, survival rate, and complications were recorded and assessed pre-operatively and at the most recent follow-up. Results:. A total of 64 patients were available for follow-up at least 2 years after surgery; the mean follow-up duration for clinical outcomes was 37.9 months (24–59 months), and for radiographic findings was 22.8 months (12–59 months). There were significant improvements (P < 0.01) in the American Orthopedic Foot and Ankle Society hindfoot scale, the visual analog scale for pain, and the Short Form-36. There were statistically significant differences between pre-operative and post-operative comparisons of the talar tilt angle (TT) and the tibial lateral surface angle (TLS) in the radiographic findings (TT from 4.7 ± 4.3° to 1.3 ± 1.3°, TLS from 80.4 ± 7.7° to 87.4 ± 2.3°, P < 0.01). There was no statistically significant difference in improvement of the tibial anterior surface angle (P = 0.14). Ten complications (all low grade) were recorded according to the Glazebrook classification system. The survivorship of the prosthesis was 100% (64/64). Conclusion:. Patients who underwent TAR with INBONE-II prosthesis demonstrated significant improvements in all measures of pain and function as well as in radiographic findings. High survival and a low incidence of complications were observed in this study.http://journals.lww.com/10.1097/CM9.0000000000002192
spellingShingle Yong Wu
Hanyuan Yang
Xiangbin Guo
Hui Du
Xiaofeng Gong
Ningning Wang
Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in China
Chinese Medical Journal
title Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in China
title_full Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in China
title_fullStr Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in China
title_full_unstemmed Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in China
title_short Total ankle replacement with INBONE-II prosthesis: A short-to- medium-term follow-up study in China
title_sort total ankle replacement with inbone ii prosthesis a short to medium term follow up study in china
url http://journals.lww.com/10.1097/CM9.0000000000002192
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