HINTEGRA Total Ankle Replacement: Survivorship Analysis in 684 Patients

Barg, Alexej; Zwicky, Lukas; Knupp, Markus; Henninger, Heath B.; Hintermann, Beat

doi:10.2106/jbjs.l.01234

Cited by 166 publications

(118 citation statements)

References 36 publications

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“…The mid-term survivorship of the HINTEGRA implant was comparable with that of other third-generation TARs [36]. The mid-term to long-term survivorship of a TAR in which a HINTEGRA implant was used is promising, and it is in agreement with the survivorship findings for other third-generation total ankle implants.…”

Section: Outcomes Of Tarsupporting

confidence: 78%

The Current Trend of Total Ankle Replacement

Zhou¹,

Tang²

2016

Arthroplasty - A Comprehensive Review

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Total ankle replacement (TAR) was introduced for end-stage arthritis of the ankle joint in the 1970s. TAR is becoming the modality of choice and offers better mobility, improved gait, and reduces the development of subsequent subtalar joint arthritis when compared with ankle arthrodesis. To maintain the longest function of ankle replacements, the design of the prosthesis should allow for smooth and continuous interaction and normal gait. Improved operative techniques, the surgeon's experience, as well as appropriate patient selection can anticipate better outcomes. Deformities of the ankle and foot should be corrected before TAR is performed. Despite the functional limitations following the revision of TAR, the revision still offers a cost-effective alternative to ankle arthrodesis. The decision to treat with TAR depends on the surgeon's technique, as well as on the patient's condition.

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Section: Outcomes Of Tarsupporting

confidence: 78%

The Current Trend of Total Ankle Replacement

Zhou¹,

Tang²

2016

Arthroplasty - A Comprehensive Review

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“…After thawing the specimens, the muscle belly was removed from nine tendons of the extrinsic muscles of the specimens (peroneus longus, peroneus brevis, tibialis anterior, extensor digitorum, extensor hallucis, tibialis posterior, flexor digitorum, flexor hallucis, triceps surae), and soft tissue was removed from the proximal part of the tibia. Two measurements were performed for each specimen: after measuring intraarticular pressure distribution in the native joint, a three-component TAA prosthesis (Hintegra 1 ; Newdeal SA, Lyon, France) [3,10] was implanted and the measurements were repeated. This prosthesis is a threecomponent mobile-bearing design consisting of talar and tibial components made of CoCr (ISO 5832/4).…”

Section: Methodsmentioning

confidence: 99%

Extrinsic Muscle Forces Affect Ankle Loading Before and After Total Ankle Arthroplasty

Natsakis

Burg

Dereymaeker

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Joint loading conditions have an effect on the development and management of ankle osteoarthritis and on aseptic loosening after total ankle arthroplasty (TAA). Apart from body weight, compressive forces induced by muscle action may affect joint loading. However, few studies have evaluated the influence of individual muscles on the intraarticular pressure distribution in the ankle.Question/purposes The purpose of this study was to measure intraarticular pressure distribution and, in particular, (1) to quantify the effect of individual muscle action on peak-pressure magnitude; and (2) to identify the location of the center of pressure in the weightbearing native ankles and ankles that had TAA. Methods Peak pressure and intraarticular center of pressure were quantified during force alterations of four muscle groups (peronei, tibialis anterior, tibialis posterior, and triceps surae) in 10 cadaveric feet. The pressure was measured with a pressure sensitive array before and after implantation of a three-component mobile-bearing TAA prosthesis. Linear mixed-effects models were calculated and the y-intercept (b 0 ) and the slope (b 1 ) of the regression were used to quantify the size of the effect. Results Mean maximum peak pressures of 2 MPa (± 2.6 MPa) and 6.2 MPa (± 3.6 MPa) were measured for the native and TAA joint respectively. The triceps surae greatly affect the magnitude of peak pressure in the native ankle (slope b 1 = 0.174; p = 0.001) and TAA joint (slope b 1 = 0.416; p = 0.001). Furthermore, the force of most muscles caused a posterior and lateral shift of the center of pressure in both conditions. Conclusions Our results suggest that muscle force production has the potential to alter the pressure distribution in the native ankles and those with and TAA. Clinical Relevance Our study results help us to understand the effect of muscle forces on joint loading conditions which could be used in muscle training strategies and the design of better prosthetic components. Physical therapy or guided exercises may provide the potential to relieve areas in the joint that show signs of early osteoarthritis or reduce the contact stress on prosthetic components, potentially reducing the risk of TAA failure attributable to wear.

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“…Ankle arthritis is generally a debilitating condition that can cause limitation of movement that leads to poor quality of life (1,2). It is a challenging task in managing due to the complex interplay of the joints surrounding the ankle.…”

Section: Introductionmentioning

confidence: 99%

“…Ankle arthritis has an increased incidence over the past few decades due to more injuries during sport event and increased life span of the population. Approximately 1% of the adult population is affected by ankle arthritis (1,2).…”

Section: Introductionmentioning

confidence: 99%

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Ankle Arthritis: Which to Choose – Arthrodesis or Arthroplasty

Bajuri¹,

Abdullah²

2017

JSA

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The best treatment option in ankle arthritis have always been debated. It is either ankle arthroplasty or arthrodesis. The incidence of ankle arthritishas increased over the recent decades due to the increasing life span of the population and incidence of injuries sustained during sporting events. Although arthrodesis is still largely regarded as the gold standard for it is a safe procedure but in long term, several studies have reported complications such as arthritis in adjacent joints, hip dysfunction and knee problems. Currently results have shown that ankle arthroplasty offers a better long term results than arthrodesis especially in view of patient's satisfaction and its good functional outcome. This review article aims to analyse both options and their respective outcomes.

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HINTEGRA Total Ankle Replacement: Survivorship Analysis in 684 Patients

Abstract: The midterm survivorship of the HINTEGRA implant was comparable with that of other third-generation total ankle replacements.

Cited by 166 publications

References 36 publications

The Current Trend of Total Ankle Replacement

The Current Trend of Total Ankle Replacement

Extrinsic Muscle Forces Affect Ankle Loading Before and After Total Ankle Arthroplasty

Ankle Arthritis: Which to Choose – Arthrodesis or Arthroplasty

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