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Arthritis und Rheuma 2011; 31(01): 7-14
DOI: 10.1055/s-0037-1618044
Degenerative Erkrankungen des Fußes
Schattauer GmbH

Die Destruktion am oberen Sprunggelenk nach Larsen-Stadium V

Pro EndoprotheseDestruction of the upper ankle joint according Larsen’s stage VPro endoprothesis
S. Schill
1   MVZ-Gelenkzentrum Rosenheim, Schön Klinik Harthausen, Bad Aibling
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Further Information

Publication History

Publication Date:
21 December 2017 (online)

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Zusammenfassung

In den vergangenen 15 Jahren wurden entscheidende Fortschritte im Hinblick auf Design und Technik der Sprunggelenksprothetik erreicht. Die vorliegenden 10-Jahresergebnisse mit Überlebensraten zwischen 70 und 90 Prozent und die spätere Rückzugsmöglichkeit zum Prothesenwechsel oder zur Arthrodese lassen heute die Endoprothese des oberen Sprunggelenks zunehmend in den Versorgungsschwerpunkt treten. Gerade der Rheumapatient mit seinem allgemein geringeren physischen Anforderungsprofil kann nach einer gut implantierten Prothese über zehn bis zwölf Jahre mit einer schmerzfreien Funktion des operierten Sprunggelenks rechnen. Die rekonstruktive Versorgung mit einer Sprunggelenksendoprothese ermöglicht dem Rheumapatienten im Vergleich zur Fusion eine wesentlich schnellere Remobilisierung mit Erhalt der Abrollvorgänge und Korrekturmöglichkeiten im Sprunggelenk. Die Arthrodese verbleibt als wertvolle therapeutische Alternative bei schweren Destruktionen mit knöchernen Substanzverlusten und Instabilitäten sowie als Rückzugsmöglichkeit nach Fehlschlägen der Endoprothetik.

Summary

In the past 15 years, major progress has been achieved in terms of design and technique of ankle prostheses. The present results with 10 years survival rates between 70 and 90 % and the possible revision to implant exchange or arthrodesis are the reasons for increasing importance of ankle arthroplasty. Especially the rheumatoid patients with their generally lower physical requirements can expect a pain-free function of the operated ankle for 10 to 12 years. In comparison to fusion, ankle arthroplasty allows the rheumatoid a significantly faster remobilization and reserves the correction capabilities of the ankle. Arthrodesis remains a valuable therapeutic alternative for severe bony destruction and instabilities, as well as a retreat for failures of arthroplasty.

Schlüsselwörter

Rheumatoide Arthritis - Sprunggelenksendoprothese - Sprunggelenksarthrodese

Keywords

Rheumatoid arthritis - ankle arthroplasty - ankle fusion
 

  • Literatur

  • 1 Abdo RV, Wasilewski SA. Ankle arthrodesis: a long-term study. Food & Ankle 1992; 13: 307-312.
    Google Scholar
  • 2 Anderson T, Montgomery F, Carlsson A. Uncemented STAR total ankle prostheses: three to eight-year follow-up of fifty-one consecutive ankles. J Bone Joint Surg Am 2003; 85: 1321-1329.
    CrossrefPubMedGoogle Scholar
  • 3 Asencio J. In: Hintermann B. Hrsg. Endoprothetik des Sprunggelenks. Wien, NewYork: Springer; 2005: 64.
    Google Scholar
  • 4 Besse JL, Colombier JA, Asencio J. et al. Total ankle arthroplasty in France. Orthopaedics & traumatology 2010; 96 (03) 291-303.
    Google Scholar
  • 5 Bonnin M, Gaudot F, Laurent JR, Ellis S. The Salto Total Ankle Arthroplasty: Survivorship and Analysis of Failures at 7 to 11 years. Clinical orthopaedics and related research 2010; Jun 01 8-16.
    Google Scholar
  • 6 Buechel FF, Buechel FF, Pappas MJ. Twenty-year evaluation of cement less mobile-bearing total ankle replacements. Clin Orthop Relat Res 2004; 424: 19-26.
    CrossrefPubMedGoogle Scholar
  • 7 Carlsson AS, Henricson A, Linder L. et al. A survival analysis of 52 Bath-Wessex ankle replacements. Foot 1994; 4: 34-40.
    CrossrefGoogle Scholar
  • 8 Carlsson A, Markusson P, Sundberg M. Radiostereometric analysis of the double-coated STAR total ankle prosthesis: a 3–5 year follow-up of 5 cases with rheumatoid arthritis and 5 cases with osteoarthritis. Acta Orthop 2005; 76 (04) 573-579.
    CrossrefPubMedGoogle Scholar
  • 9 Cracchiolo 3rd A, Cimino WR, Lian G. Arthrodesis of the ankle in patients who have rheumatoid arthritis. J Bone J Surg 1992; 74-A: 903-909.
    Google Scholar
  • 10 Doets HC, Brand R, Nelissen RG. Total ankle arthroplasty in inflammatory joint disease with use of two mobile-bearing designs. J Bone Joint Surg Am 2006; 6: 1272-1284.
    Google Scholar
  • 11 Doets HC, Van Middelkoop M, Houdijk H. et al. Gait analysis after successful mobile bearing total ankle replacement. Foot Ankle Int 2007; 28 (03) 313-322.
    CrossrefPubMedGoogle Scholar
  • 12 Fevang ATS. 257 ankle arthroplasties performed in Norway between 1994 and 2005. Acta Orthop 2007; 78 (05) 575-583.
    CrossrefPubMedGoogle Scholar
  • 13 Glazebrook M, Daniels T, Younger A. Comparison of health related quality of life between patients with end stage ankle and hip arthrosis. J Bone Joint Surg Am 2008; 90: 499-505.
    CrossrefPubMedGoogle Scholar
  • 14 Giannini S, Leardini A, O’Conor JJ. Total ankle replacement; review of the designs and of the current status. Foot Ankle Surg 2000; 6: 77-78.
    CrossrefGoogle Scholar
  • 15 Gougoulias NE, Khanna A, Maffulli N. History and evolution in total ankle arthroplasty. Br Med Bull 2009; 89: 111-151.
    PubMedGoogle Scholar
  • 16 Günter U, Zacher J. Die Pseudarthrose nach Arthrodese – Eine Analyse der Indikationen und Methoden bei 64 Sprunggelenken. Orthop Praxis 2000; 36 (08) 490-496.
    Google Scholar
  • 17 Haddad SL, Coetzee JC, Estok R. et al. Intermediate and long-term outcomes of total ankle arthroplasty and ankle arthrodesis: a systematic review of the literature. J Bone Joint Surg Am 2007; 89: 1899-1905.
    CrossrefPubMedGoogle Scholar
  • 18 Henricson A. The Swedish Ankle Arthroplasty Register: An analysis of 531 arthroplasties between 1993 and 2005. Acta orthopaedica 2007; 78 (05) 569.
    CrossrefPubMedGoogle Scholar
  • 19 Hintermann B, Valderrabano V, Dereymaeker G, Dick W. The HINTEGRA ankle: rationale and short-term results of 122 consecutive ankles. Clin Orthop Rel Res 2004; 424: 57-68.
    CrossrefPubMedGoogle Scholar
  • 20 Jensen NC, Kroner K. Total ankle joint replacement: a clinical follow up. Orthopaedics (United States) 1992; 15 (02) 236-239.
    PubMedGoogle Scholar
  • 21 Kitaoka HB, Patzer GL. Clinical results of the Mayo total ankle arthroplasty. J Bone Joint Surg Am (United States) 1996; 78 (11) 1658-1664.
    CrossrefPubMedGoogle Scholar
  • 22 Kofoed H. The evolution of ankle arthroplasty. Orthopade (Germany) 1999; 28 (09) 804-811.
    PubMedGoogle Scholar
  • 23 Kofoed H. Cylindrical cemented ankle arthroplasty: a prospective series with long-term follow-up. Foot Ankle Int (United States) 1995; 16 (08) 474-479.
    CrossrefPubMedGoogle Scholar
  • 24 Kofoed H, Sorensen TS. Ankle arthroplasty for rheumatoid arthritis and osteoarthritis: prospective long-term study of cemented replacements. J Bone Joint Surg Br 1998; 80 (02) 328-332.
    CrossrefPubMedGoogle Scholar
  • 25 Kofoed H, Stürup J. Comparison of ankle arthroplasty and arthrodesis. A prospective series with long-term follow-up. Foot 1994; 5: 27-31.
    Google Scholar
  • 26 Lachiewicz PF. Rheumatoid arthritis of the ankle: the role of total ankle arthroplasty. Semin Arthroplasty (United States) 1995; 6 (03) 187-192.
    Google Scholar
  • 27 Larsen A, Dahle K, Eek M. Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol 1977; 18: 481-491.
    Google Scholar
  • 28 Leardini A. Geometry and mechanics of the human ankle complex and ankle prosthesis design. Clin Biomech (Bristol, Avon) 2001; 16 (08) 706-709.
    CrossrefPubMedGoogle Scholar
  • 29 Lewis G. Biomechanics of and research challenges in uncemented total ankle replacement. Clin Orthop Relat Res 2004; 424: 89-97.
    CrossrefPubMedGoogle Scholar
  • 30 Mazur JM, Schwartz E, Simon SR. Ankle arthrodesis: long-term follow-up with gait analysis. J Bone Joint Surg Am 1979; 61: 964-975.
    CrossrefPubMedGoogle Scholar
  • 31 McGarvey WC, Clanton TO, Lunz D. Malleolar fracture after total ankle arthroplasty: a comparison of two designs. Clin Orthop Rel Res 2004; 424: 104-110.
    CrossrefPubMedGoogle Scholar
  • 32 Moran CG, Pinder IM, Smith SR. Ankle arthrodesis in rheumatoid arthritis. Acta Orthop Scand 1991; 62: 538-543.
    CrossrefPubMedGoogle Scholar
  • 33 Naal FD, Impellizzeri FM, Loibl M. et al. Habitual physical activity and sports participation after total ankle arthroplasty. Am J Sports Med 2009; 37: 95-102.
    CrossrefPubMedGoogle Scholar
  • 34 Nelson F. SooHoo. Comparison of reoperation rates following ankle arthrodesis and total ankle arthroplasty. J Bone J Surg Am 2007; 89: 2143-2149.
    Google Scholar
  • 35 Rippstein PF. Clinical experiences with three different designs of ankle prostheses. Foot Ankle 2002; 7 (04) 817-831.
    CrossrefPubMedGoogle Scholar
  • 36 San Giovanni TP, Keblish DJ, Thomas WH, Wilson MG. Eight-year results of a minimally constrained total ankle arthroplasty Foot & ankle international. 2006; 27 (06) 418-426.
    PubMedGoogle Scholar
  • 37 Schill S, Thabe H. Langzeitergebnisse nach zementiert und zementfrei verankerter S.T.A.R.-Prothese beim Rheumapatienten. Akt Rheumatol 2009; 34 (01) 53-58.
    Article in Thieme ConnectGoogle Scholar
  • 38 Slobogean GP, Younger A, Apostle KL. et al. Preference-based quality of life of end-stage ankle arthritis treated with arthroplasty or arthrodesis. Foot & ankle international 2010; 31 (07) 563-566.
    CrossrefPubMedGoogle Scholar
  • 39 Thermann H, Saltzman CL. Endoprothetischer Ersatz des oberen Sprunggelenks. Unfallchirurg 2002; 105 (06) 496-510.
    CrossrefPubMedGoogle Scholar
  • 40 Tillmann K. Der rheumatische Fuß und seine Behandlung. Bücherei des Orthopäden, Band 18. Stuttgart: Enke; 1977
    Google Scholar
  • 41 Tillmann K, Schaar M, Schaar B, Fink B. Ergebnisse von OSG-Endoprothesen bei rheumatoider Arthritis. FussSprungg 2003; 1: 56-65.
    CrossrefGoogle Scholar
  • 42 Tochigi Y, Rudert MJ, Brown TD. et al. The effect of accuracy of implantation on range of movement of the Scandinavian Total Ankle Replacement. J Bone Joint Surg Br 2005; 87 (05) 736-740.
    PubMedGoogle Scholar
  • 43 Unger AS, Inglis AE, Mow CS. Total ankle arthroplasty in rheumatoid arthritis: a long term follow-up study. Foot Ankle 1998; 8: 173-179.
    Google Scholar
  • 44 Valderrabano V, Hintermann B, Dick W. Scandinavian total ankle replacement: a 3.7-year average follow-up of 65 patients. Clin Orthop Relat Res 2004; 424: 47-56.
    CrossrefGoogle Scholar
  • 45 Valderrabano V, Hintermann B, Nigg BM. et al. Kinematic changes after fusion and total replacement of the ankle: part 1: Range of motion. Foot Ankle Int 2003; 24 (12) 881-887.
    CrossrefPubMedGoogle Scholar
  • 46 Valderrabano V, Hintermann B, Nigg BM. et al. Kinematic changes after fusion and total replacement of the ankle: part 2: Movement transfer. Foot Ankle Int 2003; 24 (12) 888-896.
    CrossrefPubMedGoogle Scholar
  • 47 Valderrabano V, Pagenstert G, Horisberger M. et al. Sports and recreation activity of ankle arthritis patients before and after total ankle replacement. Am J Sports Med 2006; 34: 993-999.
    CrossrefPubMedGoogle Scholar
  • 48 Wood PL. Experience with the STAR ankle arthroplasty at Wrightington Hospital, UK. Foot Ankle Clin 2002; 7 (04) 755-764.
    CrossrefPubMedGoogle Scholar
  • 49 Wynn AH, Wilde AH. Long-term follow-up of the Conaxial (Beck-Steffee) total ankle arthroplasty. Foot Ankle (United States) 1992; 13 (06) 303-306.
    CrossrefPubMedGoogle Scholar
  • 50 Zerahn B, Kofoed H, Borgwardt A. Increased bone mineral density adjacent to hydroxy-apatite-coated ankle arthroplasty. Foot Ankle Int (United States) 2000; 21 (04) 285-289.
    CrossrefPubMedGoogle Scholar