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Medial impingement after ankle replacement

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Abstract

Ankle replacements appear to offer a good alternative to fusion for most arthritic conditions. Use of mobile bearings has significantly improved results of ankle replacement. Ankle replacements still have a significant minor-complication rate which does not seem to affect the long-term outcome. Medial impingement as a complication has been reported with popular designs. We reviewed the senior author’s first five years of Buechel-Pappas ankle replacements looking at AOFAS scores, VAS scores, patient satisfaction, learning curve of the surgeon and complications. Eight patients out of a total of 34 reported symptoms of medial impingement at follow-up. Four patients underwent revision surgery for this. Ankle replacements have a significant proportion of minor complications, one of which is medial impingement. Whether this is due to implant design, residual arthritis in medial recess or soft-tissue pathology is uncertain but revision surgery may be required.

Résumé

La prothèse de cheville apparaît comme une solution alternative satisfaisante à l’arthrodèse dans la plupart des arthroses de la cheville. L’utilisation de prothèses à plateaux mobiles a significativement amélioré les résultats de ce type d’arthroplastie. Elles ont toujours un taux de complication minime et ce taux ne semble pas s’aggraver avec la surveillance à long terme. Les conflits internes ont été décrits avec les implants les plus habituels. L’auteur senior de cette publication a revu toutes les prothèses de cheville de type Buechel-Pappas posées lors des cinq premières années et cotées selon le score AOFAS et le score VAS, la satisfaction des patients, la courbe d’apprentissage du chirurgien et les complications. 8 patients sur 34 ont rapporté des signes de conflits internes. 4 patients ont bénéficié d’une révision de la prothèse secondaire à ce conflit interne. Les prothèses de cheville ont une proportion significative de complications minimes, le conflit interne étant secondaire au dessin de l’implant. Les lésions arthrosiques résiduelles et la pathologie des tissus mous environnant peuvent, avec ce conflit interne, nécessiter une reprise chirurgicale.

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Acknowledgements

We would like to thank Mr. Taylor’s secretary, Anita Summerfield, for her kind assistance during this study.

Conflict of interest statement

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Authors and Affiliations

  1. Orthopaedics, Royal Glamorgan Hospital, Llantrisant, UK

    Harish V. Kurup

  2. Orthopaedics, Southampton University Hospitals NHS Trust, Southampton, SO16 6YD, UK

    Graeme R. Taylor

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  1. Harish V. Kurup
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  2. Graeme R. Taylor
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Correspondence to Harish V. Kurup.

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Kurup, H.V., Taylor, G.R. Medial impingement after ankle replacement. International Orthopaedics (SICO 32, 243–246 (2008). https://doi.org/10.1007/s00264-006-0300-y

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  • DOI: https://doi.org/10.1007/s00264-006-0300-y

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