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Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence

BACKGROUND: Total ankle arthroplasty is increasingly used as a treatment for end stage ankle arthropathy. The aim of this study was to report the mid-term clinical function and survival results of Ceramic Coated Implant (CCI) ankle replacements and assess the association between the alignment of the...

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Autores principales: Hermus, Joris P. S., van Kuijk, Sander M., Witlox, Marianne A., Poeze, Martijn, van Rhijn, Lodewijk W., Arts, Jacobus J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10251552/
https://www.ncbi.nlm.nih.gov/pubmed/37291623
http://dx.doi.org/10.1186/s13047-023-00630-2
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author Hermus, Joris P. S.
van Kuijk, Sander M.
Witlox, Marianne A.
Poeze, Martijn
van Rhijn, Lodewijk W.
Arts, Jacobus J.
author_facet Hermus, Joris P. S.
van Kuijk, Sander M.
Witlox, Marianne A.
Poeze, Martijn
van Rhijn, Lodewijk W.
Arts, Jacobus J.
author_sort Hermus, Joris P. S.
collection PubMed
description BACKGROUND: Total ankle arthroplasty is increasingly used as a treatment for end stage ankle arthropathy. The aim of this study was to report the mid-term clinical function and survival results of Ceramic Coated Implant (CCI) ankle replacements and assess the association between the alignment of the CCI total ankle replacements and early functional outcome and complication incidence. METHODS: Data of 61 patients, who received 65 CCI implants between 2010 and 2016, were obtained from a prospectively documented database. Mean follow-up time was 85.2 months (range 27–99 months). Clinical function was assessed with AOFAS questionnaire and passive range of motion (ROM). Survival analysis and elaborate radiographic analysis was performed. Furthermore, complications and reoperations were recorded for all patients. RESULTS: Progression in ROM was most seen in the first 10 months from 21.8 degrees of passive range of motion preoperative to 27.6 degrees postoperative (p < 0.001), while the mean AOFAS gradually increased during follow-up postoperative from a mean of 40.9 points preoperative to an average of 82.5 but shows a small decline towards the end of follow-up (p < 0.001). During follow-up we recorded 8 failures (12.3%) resulting in a Kaplan-Meier survival analysis of 87.7% with a median follow-up of 85.2 months. CONCLUSION: We observed excellent clinical results and survival after TAA with the CCI implant with only a low mid-term complication rate. LEVEL OF EVIDENCE: Level III, prospective cohort study.
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spelling pubmed-102515522023-06-10 Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence Hermus, Joris P. S. van Kuijk, Sander M. Witlox, Marianne A. Poeze, Martijn van Rhijn, Lodewijk W. Arts, Jacobus J. J Foot Ankle Res Research BACKGROUND: Total ankle arthroplasty is increasingly used as a treatment for end stage ankle arthropathy. The aim of this study was to report the mid-term clinical function and survival results of Ceramic Coated Implant (CCI) ankle replacements and assess the association between the alignment of the CCI total ankle replacements and early functional outcome and complication incidence. METHODS: Data of 61 patients, who received 65 CCI implants between 2010 and 2016, were obtained from a prospectively documented database. Mean follow-up time was 85.2 months (range 27–99 months). Clinical function was assessed with AOFAS questionnaire and passive range of motion (ROM). Survival analysis and elaborate radiographic analysis was performed. Furthermore, complications and reoperations were recorded for all patients. RESULTS: Progression in ROM was most seen in the first 10 months from 21.8 degrees of passive range of motion preoperative to 27.6 degrees postoperative (p < 0.001), while the mean AOFAS gradually increased during follow-up postoperative from a mean of 40.9 points preoperative to an average of 82.5 but shows a small decline towards the end of follow-up (p < 0.001). During follow-up we recorded 8 failures (12.3%) resulting in a Kaplan-Meier survival analysis of 87.7% with a median follow-up of 85.2 months. CONCLUSION: We observed excellent clinical results and survival after TAA with the CCI implant with only a low mid-term complication rate. LEVEL OF EVIDENCE: Level III, prospective cohort study. BioMed Central 2023-06-09 /pmc/articles/PMC10251552/ /pubmed/37291623 http://dx.doi.org/10.1186/s13047-023-00630-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Hermus, Joris P. S.
van Kuijk, Sander M.
Witlox, Marianne A.
Poeze, Martijn
van Rhijn, Lodewijk W.
Arts, Jacobus J.
Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence
title Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence
title_full Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence
title_fullStr Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence
title_full_unstemmed Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence
title_short Alignment of CCI total ankle replacements in relation to midterm functional outcome and complication incidence
title_sort alignment of cci total ankle replacements in relation to midterm functional outcome and complication incidence
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10251552/
https://www.ncbi.nlm.nih.gov/pubmed/37291623
http://dx.doi.org/10.1186/s13047-023-00630-2
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