Clinical and Radiological Outcomes of Transfibular Total Ankle Arthroplasty

Usuelli, Federico Giuseppe; Maccario, Camilla; Granata, Francescopaolo; Indino, Cristian; Vakhshori, Venus; Tan, Eric W.

doi:10.1177/1071100718798851

Cited by 37 publications

(21 citation statements)

References 49 publications

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“…As reported by Valderrabano et al, short-term follow-up outcomes have highlighted an improvement in the AOFAS score from a mean value of 42.12 to 96.02, confirming our clinical findings. Regarding a totally different TAR approach, Mosca et al (2021) and Usuelli et al (2019) showed how the AOFAS score improved from an average preoperative mean value of 33.8 to a post-operative mean value of 88.5 [ 13 , 14 , 15 ]. Our findings and our clinical results appear comparable, even superior, compared to other similar and recent studies in the literature.…”

Section: Discussionmentioning

confidence: 99%

Clinical Radiographical Outcomes and Complications after a Brand-New Total Ankle Replacement Design through an Anterior Approach: A Retrospective at a Short-Term Follow Up

Mosca

Caravelli

Vocale

et al. 2021

JCM

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Recently, the progress in techniques and in projecting new prosthetic designs has allowed increasing indications for total ankle replacement (TAR) as treatment for ankle osteoarthritis. This retrospective work comprehended 39 subjects aged between 47 and 79 years old. The patients, observed for at least 12 months (mean follow up of 18.2 ± 4.1 months), have been evaluated according to clinical and radiological parameters, both pre- and post-operatively. The AOFAS and VAS score significantly improved, respectively, from 46.2 ± 4.8 to 93.9 ± 4.1 and from 7.1 ± 1.1 to 0.7 ± 0.5 (p value < 0.05). At the final evaluation, the mean plantarflexion passed from 12.2° ± 2.3° to 18.1° ± 2.4° (p value < 0.05) and dorsiflexion from a pre-operative mean value of 8.7° ± 4.1° to 21.7° ± 5.4° post-operatively (p value < 0.05). This study found that this new total ankle replacement design is a safe and effective procedure for patients effected by end-stage ankle osteoarthritis. Improvements have been demonstrated in terms of range of motion, radiographic parameters and patient-reported outcomes. However, further studies are needed to assess the long-term performance of these prostheses.

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Section: Discussionmentioning

confidence: 99%

Clinical Radiographical Outcomes and Complications after a Brand-New Total Ankle Replacement Design through an Anterior Approach: A Retrospective at a Short-Term Follow Up

Mosca

Caravelli

Vocale

et al. 2021

JCM

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“…In a recent paper, Usuelli et al reported a 98.9 % survival rate at 24 months with a rate of major complications requiring surgery of 11.2 %. We found in our patients a survival rate of 100% with a decrease in VAS from 7.81 pre-operatively to 2.29 post-operatively and major complications rate of 23.3 % [19].…”

Section: Discussionmentioning

confidence: 99%

Early clinical and radiological evaluation in patients with total ankle replacement performed by lateral approach and peroneal osteotomy

Bianchi

Martinelli

Hosseinzadeh

et al. 2019

BMC Musculoskelet Disord

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Background The Zimmer Trabecular Metal Total Ankle Replacement (Zimmer TM TAR) is a recent ankle arthroplasty approved for use in the United States and Europe. Many of the studies reporting the results of this implant are provided by surgeons involved at least in the initial design of the implant under study. The aim of this study is to describe the early clinical and radiological outcomes in patients who underwent this procedure performed by non-designer surgeons. Methods A total of thirty consecutive patients underwent total ankle replacement with a Zimmer TM TAR surgery between July 2013 to January 2016.All clinical assessments were collected pre- and post-operatively with minimum follow-up of 12 months for each patient using the American Orthopedic Foot and Ankle (AOFAS) score, the Foot Function Index (FFI) and a visual analogue scale (VAS) for pain. Radiographic outcomes included ankle orientation assessed with angle “α”,“β” and “γ” according to Wood. Furthermore, the anteroposterior offset ratio was measured in weight-bearing lateral ankle radiographs at the last follow-up. Results The mean preoperative FFI-pain (FFI-P) value was 53.67, the FFI-disability (FFI-D) was 64.19. At the last follow-up visit, the FFI-P and FFI-D was 16.95 and 20.76 respectively ( p <0.01 for the both scales). Preoperatively, the mean VAS for pain and AOFAS score was 7.81 and 40.95 respectively, and at the last follow-up 2.29 and 86.38 ( p <0.01 for the both scales). The mean angle calculated using Wood and Deakin’s method were “α”= 89.02°, “β”= 85.11 and “γ”= 27.54 post-operatively. At the last follow-up the same values were respectively 89.43, 85.18 and 29.94. At the last follow-up, the mean offset ratio was 0.06 (range 0.003/-0.17). Conclusions These early results show high levels of patient satisfaction, and we are encouraged to continue with lateral approach total ankle arthroplasty.

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“…The radiographic evaluation included weight-bearing anteroposterior (AP) and lateral views at baseline and after 3, 6, and every 12 months after the surgery. The angular measurements were made as described by Usuelli et al 30 Postoperatively, the talar and tibial components were viewed for subsidence, which was defined as a change in vertical position of prosthesis component ≥5 mm 2 . Radiolucency around tibial and talar components seen on AP and lateral radiographs was recorded ( Figure 1).…”

Section: Outcome Measuresmentioning

confidence: 99%

Results of Trabecular-Metal Total Ankle Arthroplasties With Transfibular Approach

et al. 2019

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Background: Total ankle arthroplasty is an alternative for arthrodesis. The objective of this study was to investigate the safety of trabecular-metal ankle prosthetic system with transfibular approach and external frame and its association with changes in clinical and functional scores. Methods: Between May 2013 and June 2017, a total of 104 consecutive patients underwent primary total ankle arthroplasty with a trabecular metal implant. The prospective clinical and radiographic data were collected. The mean follow-up time was 43.6 (14.6) months. Results: Of 104 patients, 88 (89%) reported improved functioning and 65 (66%) were very satisfied with the surgery. Of the patients, 51 (50%) did not report any pain at the end of follow-up at all. The average Kofoed score was 37.6 (SD 17.4) points at baseline and 74.8 (SD 20.6) points at the end of follow-up. There were 37 additional procedures, and the complication rate was nearly 20%. Conclusion: Trabecular-metal total ankle prosthesis showed promising clinical results concerning pain and function. At 5-year follow-up, osteolysis and component loosening were rare. Level of Evidence: Level IV, case series.

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Clinical and Radiological Outcomes of Transfibular Total Ankle Arthroplasty

Abstract: Level IV, case series.

Cited by 37 publications

References 49 publications

Clinical Radiographical Outcomes and Complications after a Brand-New Total Ankle Replacement Design through an Anterior Approach: A Retrospective at a Short-Term Follow Up

Clinical Radiographical Outcomes and Complications after a Brand-New Total Ankle Replacement Design through an Anterior Approach: A Retrospective at a Short-Term Follow Up

Early clinical and radiological evaluation in patients with total ankle replacement performed by lateral approach and peroneal osteotomy

Results of Trabecular-Metal Total Ankle Arthroplasties With Transfibular Approach

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