Medial impingement after ankle replacement

Kurup, Harish; Taylor, G. R.

doi:10.1007/s00264-006-0300-y

Cited by 52 publications

(37 citation statements)

References 15 publications

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“…In those patients with degenerative joint disease (15%), the mean interval from implant to SGR was 13 months (range, 4-44 months). In the patients with instability, inflammatory arthritis, and other diagnoses, the mean interval was 16 (range, 3-31), 10 (range, [4][5][6][7][8][9][10][11][12][13][14][15][16][17], and 13 (range, 6-26) months, respectively.…”

Section: Resultsmentioning

confidence: 99%

Gutter Impingement After Total Ankle Arthroplasty

Schuberth

Babu²,

Richey

et al. 2013

Foot Ankle Int.

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Section: Resultsmentioning

confidence: 99%

Gutter Impingement After Total Ankle Arthroplasty

Schuberth

Babu²,

Richey

et al. 2013

Foot Ankle Int.

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“…They are comparable to those of other designs. 7,10,11,15,20 However, a significant number of patients (18 of 129, 14%) have persistent pain at a mean follow-up of four years. If the revisions are included then the failure rate is approaching 15% at four years.…”

Section: Discussionmentioning

confidence: 99%

“…A proportion of TARs remain painful, and anecdotally, the Mobility has a reputation for persistent medial pain, which has also been reported in other mobile-bearing implants. 6,9,15 This has been assumed to be related to impingement or an under-corrected varus deformity. 15,16 Increased deltoid strain or tibialis posterior tendon damage could also be implicated.…”

mentioning

confidence: 99%

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The outcome of the Mobility total ankle replacement at a mean of four years

Muir

Aoina

Hong

et al. 2013

The Bone & Joint Journal

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We performed a retrospective review of a consecutive series of 178 Mobility total ankle replacements (TARs) performed by three surgeons between January 2004 and June 2009, and analysed radiological parameters and clinical outcomes in a subgroup of 129 patients. The mean follow-up was 4 years (2 to 6.3). A total of ten revision procedures (5.6%) were undertaken. The mean Ankle Osteoarthritis Scale (AOS) pain score was 17 (0 to 88) and 86% of patients were clinically improved at follow-up. However, 18 patients (18 TARs, 14%) had a poor outcome with an AOS pain score of > 30. A worse outcome was associated with a pre-operative diagnosis of post-traumatic degenerative arthritis. However, no pre- or post-operative radiological parameters were significantly associated with a poor outcome. Of the patients with persistent pain, eight had predominantly medial-sided pain. Thirty TARs (29%) had a radiolucency in at least one zone. The outcome of the Mobility TAR at a mean of four years is satisfactory in > 85% of patients. However, there is a significant incidence of persistent pain, particularly on the medial side, for which we were unable to establish a cause.

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“…reporting 14% (18 of 129) of ongoing pain at 4 years with the Mobility, and Kurup and Taylor 21 reported 23.5% (8 of 34) medial associated pain with the Buechel-Pappas implant 21,24,27,35. Medial pain is not limited to these implants however, with Rippstein 26 reporting occurrence in the Scandinavian Total Ankle Replacement (STAR®) stating that the cause of persistent pain was contact of the talar component with the malleoli.…”

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confidence: 96%