Perioperative Complications of a Modular Stem Fixed-bearing Total Ankle Replacement with Intramedullary Guidance

Bleazey, Scott T.; Brigido, Stephen A.; Protzman, Nicole M.

doi:10.1053/j.jfas.2012.10.009

Cited by 18 publications

(6 citation statements)

References 25 publications

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“…Traditionally, TARs have been performed through an anterior approach that allows for an optimal visualization of the joint in the coronal plane, but it is subject to soft-tissue complications [5, 6]. Recently, a new TAR design (Zimmer Trabecular Metal Total Ankle, Zimmer, Warsaw, IN) was developed to be used through a lateral transfibular approach.…”

Section: Introductionmentioning

confidence: 99%

Total ankle replacement through a lateral approach: surgical tips

Usuelli

Indino

Maccario

et al. 2016

SICOT-J

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Purpose: Recently, the Zimmer Trabecular Metal Total Ankle Replacement (Zimmer TM TAR) was developed to be used through a lateral transfibular approach. The purpose of this paper is to describe the surgical technique and early outcomes of the TAR via the lateral approach using the Zimmer TM TARs. Methods: Sixty-seven patients underwent primary TAR using the Zimmer TM TAR between May 2013 and May 2015. Patients were clinically evaluated preoperatively and postoperatively at six and twelve months and annually using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle and hindfoot scores, visual analogue scale (VAS) pain score, and the Short Form Health Survey (SF-12) questionnaire. The minimum follow-up was 12 months. Results: The mean AOFAS hindfoot score increased from 32.8 preoperatively to 85.0 at the latest follow-up (p-value < 0.001). The mean VAS pain score decreased from 8.0 to 2.0 at the latest follow-up (p-value < 0.001). The Physical and Mental Health Composite Scale scores (PCS and MCS) of the SF-12 passed from a mean value of 30.2 preoperatively to 43.1 (p-value < 0.001) and from a mean value of 44.6 to 53.5 at the latest follow-up (p-value < 0.001), respectively. Conclusions: We present our surgical tips and the early results of this prosthetic design which are encouraging. They could be useful as an adjunct to the manufacturer’s surgical technique guidance for surgeons who utilize these implants.

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Section: Introductionmentioning

confidence: 99%

Total ankle replacement through a lateral approach: surgical tips

Usuelli

Indino

Maccario

et al. 2016

SICOT-J

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“…The longer stem also distributes the forces throughout the tibial shaft and decreases the shear forces at the bone-implant interface. Both implants are equipped with an intramedullary guide, which has been shown to aid in accurate implantation with reproducible results (21). Finally, the 2 systems allow for the preservation of the medial and lateral malleolus, which provides additional stability for the tibial base plate.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Component Migration: Comparing Two Generations of the INBONE ® Total Ankle Replacement

Brigido¹,

Wobst²,

Galli

et al. 2015

The Journal of Foot and Ankle Surgery

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“…RS, SC IV 24 (24) STAR ( PS, SC IV 47 (50) AES (50) n.a. 1 (2.0 %) popliteal (1) Bleazey et al 2013 [37] RS, SC IV 57 (58) INBONE (58) n.a. RS, SC IV 42 (42) STAR (42) n.a.…”

Section: Thromboprophylaxisunclassified

Thrombembolic complications after total ankle replacement

Barg

Schneider

et al. 2013

Curr Rev Musculoskelet Med

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The literature addressing functional outcome and survivorship of prosthesis components is constantly growing. However, the data on thromboprophylaxis and thrombembolic complications in patients who underwent TAR are scarce. A total of 31 studies were included in the systemic literature review. The incidence of thrombembolic complications varied between 0.0 % and 9.8 %. Most commonly, low molecular weight heparin was used as thromboprophylaxis for 6 weeks postoperatively. The incidence of thrombembolic complications was comparable with that of symptomatic deep vein thrombosis in patients with total knee or hip replacement.

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Perioperative Complications of a Modular Stem Fixed-bearing Total Ankle Replacement with Intramedullary Guidance

Cited by 18 publications

References 25 publications

Total ankle replacement through a lateral approach: surgical tips

Total ankle replacement through a lateral approach: surgical tips

Evaluating Component Migration: Comparing Two Generations of the INBONE ® Total Ankle Replacement

Thrombembolic complications after total ankle replacement

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