The ceramic coated implant (CCI). Evolution total ankle replacements: a retrospective analysis of 40 ankles with 8 years follow-up.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta orthopaedica Belgica Pub Date : 2023-09-01 DOI:10.52628/89.3.11585
S Kormi, H Koivu, I Kohonen, K Mäkelä, H Tiusanen, M Saltychev
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Abstract

Diminutive data is available on the outcome of several previously used total ankle replacement implants. The purpose of this study was to investigate the medium-term functional and radiological outcome and implant survival of the CCI Evolution implant. Consecutive series of 40 ankles operated in our hospital with primary TAR using the CCI Evolution implant in 2010-2013 were available for follow-up. The prospective clinical and radiographic data including the Kofoed score, subjective satisfaction and standard radiographs were collected preoperatively and at fixed time-points postoperatively. A CT was obtained in cases where osteolysis or loosening were suspected. The improvement of the Kofoed score and subjective satisfaction were statistically significant (p<0.0001). The implant survival was 97% (95% confidence interval (CI) 81%-100 %) at 5 years, and 81 % (95% confidence interval (CI) 60 %-92%) at 8 years. There were altogether 25 (64%) complications. Overall revision rate was 28% and failure rate 13%. The CCI implant outcome was not acceptable. The malposition of prosthetic components, subsidence, and peri-implant osteolysis were recorded often. Although the patient reported outcome measures improved, mostly due to positive changes in pain severity, overall revision and failure rates were high and comparable with previous findings of the CCI implant.

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陶瓷涂层植入物(CCI)。进化型全踝关节置换术:对40个踝关节进行8年随访的回顾性分析。
关于先前使用的几种全踝关节置换植入物的结果,可以获得越来越少的数据。本研究的目的是研究CCI Evolution植入物的中期功能和放射学结果以及植入物的存活率。2010-2013年,我们医院连续对40个脚踝进行了原发性TAR手术,使用CCI Evolution植入物进行了随访。术前和术后固定时间点收集前瞻性临床和放射学数据,包括Kofoed评分、主观满意度和标准x线片。对怀疑有骨溶解或松动的病例进行CT检查。Kofoed评分和主观满意度的改善具有统计学意义(p
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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
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