Total Ankle Arthroplasty with Talocalcaneal Arthrodesis for Hindfoot Lesions

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概要

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• Purpose: Ankle and talocalcaneal joints are sometimes both damaged by rheumatoid arthritis (RA) at the same time, and the method of treatment for that disorder is controversial. The purpose of this study is to investigate the usefulness of total ankle arthroplasty (TAA) with talocalcaneal arthrodesis for the cases that have disorders in both ankle and talocalcaneal joints.<BR>Materials and methods; In the study group, there were 4 patients; 2 patients with both feet having this disorder and 2 patients with a single foot having this disorder. A11 patients were women aged 45 to 60 years old at the time of surgery (average, 57 years old) . The duration of therapy for RA was from 12 to 19 years (average, 15 years) and follow-up was from 8 months to 3 years and 1 month (average, 1 year and 10 months) . We used the AOFAS Ankle-Hindfoot scale for clinical evaluation, and examined X-ray findings before and after surgery.<BR>Results: The average AOFAS Ankle-Hindfoot scale reading improved from a presurgical reading of 33.0 points to a postsurgical reading of 67.2 points. On X-ray findings, we could not find any change for the worse in adjacent joints, and ascertained complete union of talocalcaneal joints in all cases. However, in one case in which cement was not used, there was loosening and sinking on the surface of the talar component.<BR>Conclusions: Because we can expect symptom improvement and preservation of hindfoot function, TAA with talocalcaneal arthrodesis is a useful procedure for the disorders in both ankle and talocalcaneal joints of RA.

• 日本関節病学会の論文

日本関節病学会 | 論文

• 関節リウマチ患者における手術と機能回復
• 低出力超音波刺激(LIPUS)および線維芽細胞増殖因子(FGF-2)の骨形成促進作用におけるヒアルロン酸(HA)の影響
• 変形性関節症に対するグルコサミン・コンドロイチンの有用性 (第36回[日本関節病]学会寄稿)
• 人工膝関節再置換術の経験--脛骨結節骨切り術の適応と合併症について
• RA頚椎病変に対する上位頚椎後方除圧固定術の治療成績と問題点

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