Marije C Vink, Liza N van Steenbergen, Bas de Hartog, Wierd P Zijlstra, Tom M van Raaij, Rinne M Peters
{"title":"固定式全踝关节置换术与活动式全踝关节置换术相比，翻修风险更低：荷兰1246例患者的登记评估。","authors":"Marije C Vink, Liza N van Steenbergen, Bas de Hartog, Wierd P Zijlstra, Tom M van Raaij, Rinne M Peters","doi":"10.1016/j.fas.2024.12.004","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Total ankle arthroplasty (TAA) has been developed as treatment for disabling tibiotalar osteoarthritis. TAAs are divided into mobile- and fixed-bearings. The aim was to determine the incidence and trends of fixed- and mobile bearings over time and investigate the association of bearing type and risk of revision after primary TAA in the Netherlands.</p><p><strong>Methods: </strong>Using data from the Dutch Arthroplasty Register (LROI) (2014-2023), we analyzed trends in use of bearing type, reasons for revision and implant survival (n = 1246).</p><p><strong>Results: </strong>Fixed bearings were more often used than mobile bearings (67 % versus 33 %). Revision risk at 3, 5 and 7 years was respectively 2.8 %, 3.3 %, and 5.4 % for fixed bearings, versus 6.5 %, 10.4 %, and 11.3 % for mobile bearings. The adjusted hazard ratio was 2.5 (95 %CI 1.4-4.4) for mobile bearings.</p><p><strong>Conclusion: </strong>Fixed bearings were associated with a lower revision risk than mobile bearings in total ankle arthroplasties based on Dutch registry data.</p><p><strong>Level of evidence: </strong>II.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lower risk of revision in fixed-bearing compared to mobile-bearing total ankle arthroplasties: A register based evaluation of 1246 patients in the Netherlands.\",\"authors\":\"Marije C Vink, Liza N van Steenbergen, Bas de Hartog, Wierd P Zijlstra, Tom M van Raaij, Rinne M Peters\",\"doi\":\"10.1016/j.fas.2024.12.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Total ankle arthroplasty (TAA) has been developed as treatment for disabling tibiotalar osteoarthritis. TAAs are divided into mobile- and fixed-bearings. The aim was to determine the incidence and trends of fixed- and mobile bearings over time and investigate the association of bearing type and risk of revision after primary TAA in the Netherlands.</p><p><strong>Methods: </strong>Using data from the Dutch Arthroplasty Register (LROI) (2014-2023), we analyzed trends in use of bearing type, reasons for revision and implant survival (n = 1246).</p><p><strong>Results: </strong>Fixed bearings were more often used than mobile bearings (67 % versus 33 %). Revision risk at 3, 5 and 7 years was respectively 2.8 %, 3.3 %, and 5.4 % for fixed bearings, versus 6.5 %, 10.4 %, and 11.3 % for mobile bearings. The adjusted hazard ratio was 2.5 (95 %CI 1.4-4.4) for mobile bearings.</p><p><strong>Conclusion: </strong>Fixed bearings were associated with a lower revision risk than mobile bearings in total ankle arthroplasties based on Dutch registry data.</p><p><strong>Level of evidence: </strong>II.</p>\",\"PeriodicalId\":48743,\"journal\":{\"name\":\"Foot and Ankle Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-12-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot and Ankle Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.fas.2024.12.004\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot and Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.fas.2024.12.004","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Lower risk of revision in fixed-bearing compared to mobile-bearing total ankle arthroplasties: A register based evaluation of 1246 patients in the Netherlands.
Background: Total ankle arthroplasty (TAA) has been developed as treatment for disabling tibiotalar osteoarthritis. TAAs are divided into mobile- and fixed-bearings. The aim was to determine the incidence and trends of fixed- and mobile bearings over time and investigate the association of bearing type and risk of revision after primary TAA in the Netherlands.
Methods: Using data from the Dutch Arthroplasty Register (LROI) (2014-2023), we analyzed trends in use of bearing type, reasons for revision and implant survival (n = 1246).
Results: Fixed bearings were more often used than mobile bearings (67 % versus 33 %). Revision risk at 3, 5 and 7 years was respectively 2.8 %, 3.3 %, and 5.4 % for fixed bearings, versus 6.5 %, 10.4 %, and 11.3 % for mobile bearings. The adjusted hazard ratio was 2.5 (95 %CI 1.4-4.4) for mobile bearings.
Conclusion: Fixed bearings were associated with a lower revision risk than mobile bearings in total ankle arthroplasties based on Dutch registry data.
期刊介绍：
Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society.
The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
