P. Kvarda, Ursina Peterhans, Roman Susdorf, A. Barg, R. Ruiz, B. Hintermann
{"title":"Long-Term Survival of HINTEGRA Total Ankle Replacement in 683 Patients","authors":"P. Kvarda, Ursina Peterhans, Roman Susdorf, A. Barg, R. Ruiz, B. Hintermann","doi":"10.2106/JBJS.21.00899","DOIUrl":null,"url":null,"abstract":"In the past few decades, total ankle replacement (TAR) has become the backbone of treatment for end-stage ankle osteoarthritis, with improving outcomes. The aim of the present study was to present the long-term survival of the HINTEGRA TAR. This single-center retrospective cohort study included 722 ankles in 683 patients who underwent HINTEGRA TAR for end-stage ankle osteoarthritis. We performed a survival analysis and assessed potential risk factors. Clinical outcomes and patient satisfaction were determined. The cumulative survival rate was 93% (95% confidence interval [CI], 91% to 95%) at 5 years, 86% (95% CI, 83% to 88%) at 10 years, and 82% (95% CI, 78% to 85%) at 15 years. Aseptic loosening was the most common reason for revision, accounting for 54 (43%) of 126 revision procedures. A secondary etiology was associated with a lower risk of revision than primary or posttraumatic. The HINTEGRA TAR results in desirable long-term implant survival with an acceptable revision rate. Coronal-plane instability must be evaluated and addressed at the time of the index surgery. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":22579,"journal":{"name":"The Journal of Bone and Joint Surgery","volume":"20 1","pages":"881 - 888"},"PeriodicalIF":0.0000,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"6","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of Bone and Joint Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2106/JBJS.21.00899","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 6
Abstract
In the past few decades, total ankle replacement (TAR) has become the backbone of treatment for end-stage ankle osteoarthritis, with improving outcomes. The aim of the present study was to present the long-term survival of the HINTEGRA TAR. This single-center retrospective cohort study included 722 ankles in 683 patients who underwent HINTEGRA TAR for end-stage ankle osteoarthritis. We performed a survival analysis and assessed potential risk factors. Clinical outcomes and patient satisfaction were determined. The cumulative survival rate was 93% (95% confidence interval [CI], 91% to 95%) at 5 years, 86% (95% CI, 83% to 88%) at 10 years, and 82% (95% CI, 78% to 85%) at 15 years. Aseptic loosening was the most common reason for revision, accounting for 54 (43%) of 126 revision procedures. A secondary etiology was associated with a lower risk of revision than primary or posttraumatic. The HINTEGRA TAR results in desirable long-term implant survival with an acceptable revision rate. Coronal-plane instability must be evaluated and addressed at the time of the index surgery. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.