Periprosthetic fractures in total ankle replacement: classification system and treatment algorithm.
Background: Despite progress in implant design and surgical technique, the reported number of periprosthetic ankle fractures following total ankle joint replacement continues to increase. A treatment-oriented classification of these fractures has not yet been reported. The purpose of this study was...
| Publicado en: | Journal of Bone & Joint Surgery, American Volume Vol. 95; no. 9; pp. 815 - 821 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
5/1/2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108010013&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108010013 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00219355 1H2 jtl: Journal of Bone & Joint Surgery, American Volume issn: 00219355 maglogo: N pubinfo: dt: 5/1/2013 vid: 95 iid: 9 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 108010013 NLM23636188 2012103328 10.2106/JBJS.L.00572 NLM23636188 108010013 ppf: 815 ppct: 6 formats: tig: atl: Periprosthetic fractures in total ankle replacement: classification system and treatment algorithm. aug: au: Manegold, Sebastian Haas, Norbert P Tsitsilonis, Serafim Springer, Alexander Märdian, Sven Schaser, Klaus-Dieter affil: Section for Foot and Ankle Surgery, Center for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, Berlin 13353, Germany. E-mail address for S. Manegold: sebastian.manegold@charite.de. sug: subj: Arthroplasty, Replacement, Ankle Adverse Effects Fractures Classification Periprosthetic Fractures Adult Aged Aged, 80 and Over Algorithms Female Human Male Middle Age Fractures Epidemiology Fractures Etiology Prevalence Young Adult Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Background: Despite progress in implant design and surgical technique, the reported number of periprosthetic ankle fractures following total ankle joint replacement continues to increase. A treatment-oriented classification of these fractures has not yet been reported. The purpose of this study was to evaluate the prevalence, cause, and location of periprosthetic fractures and the stability of the associated prosthetic components after total ankle replacement and to develop a method of classification.Methods: Data regarding 503 total ankle replacements with a mean follow-up of 14.7 months were reviewed. The prevalence, location, and possible cause of the fractures as well as prosthesis stability were analyzed and a systematic method of classification based on these factors was developed.Results: Twenty-one patients (4.2%) with a periprosthetic fracture were identified. The fracture was intraoperative (Type 1) in eleven patients (2.2%) and postoperative in the remaining ten (2.0%). Two of the latter fractures were traumatic (Type 2) and eight were stress fractures (Type 3). Two-thirds (fourteen) of the twenty-one fractures occurred in the medial malleolus.Conclusions: The prevalence of periprosthetic fractures following primary total ankle replacement was relatively low. We propose a classification system for these fractures that is based on more than 500 cases. We believe that this classification can facilitate therapeutic decision-making, as it allows for differential analysis of the cause and guides the choice among operative and nonoperative treatment options. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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