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Total ankle arthroplasty in valgus ankle osteoarthritis 外翻性踝关节骨关节炎的全踝关节置换术
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.08.002
{"title":"Total ankle arthroplasty in valgus ankle osteoarthritis","authors":"","doi":"10.1016/j.fuspru.2024.08.002","DOIUrl":"10.1016/j.fuspru.2024.08.002","url":null,"abstract":"<div><p>The valgus total ankle replacement (TAR) presents a considerable challenge and tests the skill and ingenuity of even the most accomplished foot and ankle surgeon. Coronal plane deformity used to be considered a relative contra-indication for TAR, however with implant innovation and greater surgical understanding, the indications for TAR in deformity continue to expand. Success requires a bespoke approach to each patient to ensure that intra- and extraarticular deformities and imbalance are adequately addressed to avoid TAR failure. The overall goal in TAR surgery is achieving a well aligned and stable ankle with a well aligned and stable foot below. This article presents some of our strategies to achieve this when considering TAR in the valgus ankle.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kongresskalender 大会日历
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/S1619-9987(24)00160-0
{"title":"Kongresskalender","authors":"","doi":"10.1016/S1619-9987(24)00160-0","DOIUrl":"10.1016/S1619-9987(24)00160-0","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724001600/pdfft?md5=a075b7b56933638e26e86acb6f158d77&pid=1-s2.0-S1619998724001600-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ankle arthrodesis: Still the gold standard? 踝关节固定术：仍然是金标准吗？
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.05.001
{"title":"Ankle arthrodesis: Still the gold standard?","authors":"","doi":"10.1016/j.fuspru.2024.05.001","DOIUrl":"10.1016/j.fuspru.2024.05.001","url":null,"abstract":"<div><p>Ankle arthrodesis<span><span> has long been considered the gold standard surgical treatment for end stage ankle osteoarthritis, although recent data suggests a trend towards increased numbers of </span>total ankle replacements<span>. Both total ankle replacements and ankle arthrodesis appear to improve the function and quality of life of patients with end stage ankle osteoarthritis as measured by clinical scores, but both procedures also carry pros and cons. In this paper we review the literature to assess the impact of different factors on the outcome of total ankle replacement and ankle arthrodesis, to try and determine whether ankle arthrodesis is indeed the gold standard.</span></span></p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative planning of total ankle prosthesis – What are we aiming at? 全踝关节假体的术前规划--我们的目标是什么？
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.07.001
{"title":"Preoperative planning of total ankle prosthesis – What are we aiming at?","authors":"","doi":"10.1016/j.fuspru.2024.07.001","DOIUrl":"10.1016/j.fuspru.2024.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Ankle osteoarthritis poses significant challenges, affecting patients’ quality of life and often necessitating surgical intervention. Total ankle replacement (TAR) has emerged as an effective treatment, in patients with post-traumatic arthritis. Precise preoperative planning is crucial for achieving optimal outcomes in TAR procedures. This article explores the use of advanced imaging techniques, virtual modeling, and surgical strategies in preoperative planning for TAR.</p></div><div><h3>Methods</h3><p>The preoperative planning process involves thorough patient assessment, including clinical examination and imaging studies such as Weight Bearing CT scans (WBCT) and MRI. Classification systems like the Canadian Orthopedic Foot &amp; Ankle Society (COFAS) classification help guide treatment decisions and staging of procedures. Virtual foot/ankle models derived from WBCT scans enable accurate assessment of deformities and facilitate precise implant positioning.</p></div><div><h3>Discussion</h3><p>Optimal TAR outcomes rely on restoring normal ankle anatomy and function while addressing associated deformities and pathology. Precise alignment, joint congruency, and rotational positioning of implant components are Important considerations. Virtual planning allows for simulation of implant placement and axis correction, aiding surgical decision-making and predicting outcomes. However, it has limitations in predicting soft tissue effects and final implant size.</p></div><div><h3>Conclusion</h3><p>Preoperative planning plays a important role in TAR procedures, understanding optimal implant placement. Advanced imaging modalities, classification systems, and virtual modeling techniques enhance surgical precision. Continued refinement of preoperative planning strategies is essential for further advancing TAR outcomes and patient satisfaction.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two-stage ankle replacement: A comprehensive solution for ankle osteoarthritis associated with rigid foot deformity 两阶段踝关节置换术：踝关节骨关节炎伴僵硬足畸形的综合解决方案
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.05.003
{"title":"Two-stage ankle replacement: A comprehensive solution for ankle osteoarthritis associated with rigid foot deformity","authors":"","doi":"10.1016/j.fuspru.2024.05.003","DOIUrl":"10.1016/j.fuspru.2024.05.003","url":null,"abstract":"<div><p>Alignment and balance are mandatory for implant survival of joint<span><span> replacement. Satisfactory results can be achieved in patients with significant preoperative deformity if alignment and balance were obtained. In case of associated rigid foot deformity, a two-stage procedure involving primary deformity correction and secondary total </span>ankle<span> arthroplasty is a comprehensive solution. We describe the principal aspects of this concept and illustrate our current approach to these challenging cases.</span></span></p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative medial malleolar fractures in total ankle replacement are associated with decreased medial malleolar width and varus malalignment: A case-control study 全踝置换术后内侧踝骨骨折与内侧踝骨宽度减少和内翻错位有关：病例对照研究
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.07.002
{"title":"Postoperative medial malleolar fractures in total ankle replacement are associated with decreased medial malleolar width and varus malalignment: A case-control study","authors":"","doi":"10.1016/j.fuspru.2024.07.002","DOIUrl":"10.1016/j.fuspru.2024.07.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of timing of hindfoot arthrodesis and early reoperation rates for total ankle arthroplasty 全踝关节置换术的后足关节置换时间与早期再手术率的关系
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.07.003
{"title":"Association of timing of hindfoot arthrodesis and early reoperation rates for total ankle arthroplasty","authors":"","doi":"10.1016/j.fuspru.2024.07.003","DOIUrl":"10.1016/j.fuspru.2024.07.003","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revisionsoperationen nach OSG-Prothesen-Implantation: Klinik, Diagnostik und Therapiemöglichkeiten OSG 假体植入后的翻修手术：临床、诊断和治疗方案
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.06.001
{"title":"Revisionsoperationen nach OSG-Prothesen-Implantation: Klinik, Diagnostik und Therapiemöglichkeiten","authors":"","doi":"10.1016/j.fuspru.2024.06.001","DOIUrl":"10.1016/j.fuspru.2024.06.001","url":null,"abstract":"<div><p>Recent developments in the design of modern total ankle replacements have significantly increased the implant survival rate. Detection of reasons for persistent symptoms is complex. The most common reasons for persistent symptoms and revision are aseptic loosening, periprosthetic joint infection, impingement, inlay wear, periprosthetic fracture, malalignment and instability as well as osteoarthritis of adjacent joints. This article provides an overview of the surgical options in the light of the current literature. Whereas in previous times mostly arthrodesis was recommended for revisions, the full spectrum of revision surgery is now available for total ankle replacement. Measured by functional, clinical scores, a good result can often be demonstrated after revision surgery.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kursangebot Zertifikat 认证课程
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/S1619-9987(24)00162-4
{"title":"Kursangebot Zertifikat","authors":"","doi":"10.1016/S1619-9987(24)00162-4","DOIUrl":"10.1016/S1619-9987(24)00162-4","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Total ankle arthroplasty in endstage varus ankle osteoarthritis 终末期曲踝骨关节炎的全踝关节置换术
Fuss und Sprunggelenk Pub Date : 2024-09-01 DOI: 10.1016/j.fuspru.2024.05.006
{"title":"Total ankle arthroplasty in endstage varus ankle osteoarthritis","authors":"","doi":"10.1016/j.fuspru.2024.05.006","DOIUrl":"10.1016/j.fuspru.2024.05.006","url":null,"abstract":"<div><p>In end-stage ankle osteoarthritis (OA) more than half of all patients show a varus malalignment (tibiotalar surface angle &lt;90°). Total ankle arthroplasty (TAA) preserves tibiotalar joint motion with a low incidence of secondary subtalar joint fusion, offering a better health-related quality of life than ankle arthrodesis. The most important factors in the preoperative assessment are highlighted. Intraoperative key points are illustrated and the current literature is discussed regarding the outcome of TAA in varus ankle OA. Of paramount importance for a satisfactory outcome is to reestablish neutral alignment, ligamentous stability and a plantigrade foot. This frequently necessitates soft-tissue and bony concomitant procedures.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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