Survival and complications of transfibular trabecular metal total ankle replacement − A systematic review

IF 1.9 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2024-05-18 DOI:10.1016/j.fas.2024.05.007

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引用次数: 0

Abstract

Background

In the past decade, the transfibular approach to Total Ankle Replacement (TAR) has emerged as an alternative to anterior approach with reduced bone resection. The purpose of this systematic review is to report survival, complications, and reoperation rates of transfibular TAR.

Methods

We conducted a systematic search of studies that evaluated complications, reoperations, and survival of transfibular TAR following PRISMA guidelines across PubMed, Scopus and Web of Science.

Results

Our review included data from 12 cohorts, comprising 919 patients across 7 countries, with an average age of 62 years (59% posttraumatic). Over an average follow-up period of 3 years, adverse events occurred in 23% of cases, with 18% requiring surgical reintervention, mostly due to hardware removal. The survival rate of the transfibular TAR metal components was 97% at the final follow-up.

Conclusion

Transfibular TAR demonstrates a 97% survival rate at a 3-year follow-up.

Level of evidence

Level II

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经骨小梁金属全踝关节置换术的存活率和并发症 - 系统性综述

背景在过去的十年中，经颌入路全踝关节置换术（TAR）已成为前路置换术的一种替代方法，可减少骨切除。方法我们按照PRISMA指南在PubMed、Scopus和Web of Science上对评估经颌面TAR并发症、再手术和存活率的研究进行了系统检索。结果我们的检索包括来自12个队列的数据，包括7个国家的919名患者，平均年龄62岁（59%为创伤后）。在平均 3 年的随访期内，23% 的病例发生了不良事件，18% 的病例需要重新进行手术干预，其中大部分是由于硬件移除所致。在最后的随访中，颌下TAR金属组件的存活率为97%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.