Talar component subsidence correlates with periprosthetic osteolysis after total ankle arthroplasty

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Purpose: This study aimed to investigate the relationship between periprosthetic osteolysis around the talar component and the amount of talar component subsidence after total ankle arthroplasty (TAA). Methods: This study included forty patients who underwent TAA with a mean follow-up of 67.5 ± 17.0 months. The patients were divided into two groups based on the amount of osteolysis around the talar component, as measured by computed tomography at the latest clinic visit: none to 2 mm (N group, n = 20) and greater than or equal to 2 mm (O group, n = 20). The average amount of talar component subsidence, clinical outcomes, and complications were compared between the two groups. In the O group, the correlation between osteolysis and talar component subsidence was evaluated. Results: The average talar component subsidence was significantly different between the N (0.22 ± 0.94 mm) and O groups (2.12 ± 2.28 mm). Five out of 20 ankles in the O group required revision surgery owing to talar component subsidence. The Japanese Society for Surgery of the Foot scores in the N and O groups were significantly different: 93.5 ± 7.7 and 85.3 ± 15.4, respectively. In the O group, we found that osteolysis tended to develop on the lateral side, and the amount of osteolysis was positively correlated with the talar component subsidence (r = 0.59, P = .007). Conclusion: In the O group, a positive correlation between osteolysis and talar component subsidence was found, and five patients required revision surgery.

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詳細情報 詳細情報について

  • CRID
    1050016184239399168
  • ISSN
    14321068
  • HANDLE
    20.500.14094/0100483242
  • 本文言語コード
    en
  • 資料種別
    journal article
  • データソース種別
    • IRDB

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