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...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer
2022-06-01
|
Series: | Chinese Medical Journal |
Online Access: | http://journals.lww.com/10.1097/CM9.0000000000002192 |
_version_ | 1811204280841928704 |
---|---|
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. |
first_indexed | 2024-04-12T03:08:58Z |
format | Article |
id | doaj.art-e66f681cbe044d4d898538de9fd3dfcc |
institution | Directory Open Access Journal |
issn | 0366-6999 2542-5641 |
language | English |
last_indexed | 2024-04-12T03:08:58Z |
publishDate | 2022-06-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | Chinese Medical Journal |
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 |
work_keys_str_mv | AT yongwu totalanklereplacementwithinboneiiprosthesisashorttomediumtermfollowupstudyinchina AT hanyuanyang totalanklereplacementwithinboneiiprosthesisashorttomediumtermfollowupstudyinchina AT xiangbinguo totalanklereplacementwithinboneiiprosthesisashorttomediumtermfollowupstudyinchina AT huidu totalanklereplacementwithinboneiiprosthesisashorttomediumtermfollowupstudyinchina AT xiaofenggong totalanklereplacementwithinboneiiprosthesisashorttomediumtermfollowupstudyinchina AT ningningwang totalanklereplacementwithinboneiiprosthesisashorttomediumtermfollowupstudyinchina |