Regardless of the method ological limitations it can be concluded that both interventions show clinical improvement and in line with current literature neither procedure is superior to the other
Background While arthrodesis is the st and ard treatment of a severely arthritic ankle joint , total ankle arthroplasty has become a popular alternative .
This review provides clinical outcomes and complications of both interventions in patients with rheumatoid arthritis .
Short-Term Results of Our First 49 Scandanavian Total Ankle Replacements (STAR)
Background : Forty-seven consecutive patients treated for ankle arthritis with a Sc and inavian total ankle replacement ( STAR ) by one surgeon were investigated retrospectively . Material s and Methods : A modification of the Foot Function Index ( FFI ) , which scores pain and task difficulties , was followed prospect ively . Patients were assessed clinical ly and radiologically . Failure was defined as revision of the prosthesis or arthrodesis for any reason . Results : In 47 patients ( 16 male , 31 female ) 49 total ankle replacements were carried out between May 1999 and June 2004 . Indication for surgery was end stage arthritis for rheumatoid arthritis in 29 cases , post-traumatic arthritis in 12 , osteoarthritis in five and arthritis secondary to degenerative flatfoot in three . Mean followup time was 28 ( 12 to 67 ) months . The modified FFI ( range , 0 to 100 , a high score meaning more pain and disability ) improved significantly from 59 before to 35 after surgery . The mean postoperative Kofoed ankle score was 68 . Sixteen procedures were complicated by fractures or temporary neurological damage . At the time of followup , 45 prostheses survived , while four replacements had failed . Radiological examination at followup showed radiolucent lines , osteolysis , and malposition of the components in 31 cases . Conclusion : Our results are comparable with those reported in the literature . The clinical outcome improved significantly . Due to aseptic and septic loosening , 8.2 % of the prosthesis failed
Regardless of the method ological limitations it can be concluded that both interventions show clinical improvement and in line with current literature neither procedure is superior to the other
Background While arthrodesis is the st and ard treatment of a severely arthritic ankle joint , total ankle arthroplasty has become a popular alternative .
This review provides clinical outcomes and complications of both interventions in patients with rheumatoid arthritis .