切换至 "中华医学电子期刊资源库"
高级检索
中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (03) : 443 -447. doi: 10.3877/cma.j.issn.1674-134X.2023.03.023

临床经验

Infinity假体全踝关节置换早期临床效果分析
陈彦博, 曾钢, 刘文宙, 马梦君, 李嘉杰, 陈宸, 宋卫东†()   
  1. 510000　广州，中山大学孙逸仙纪念医院骨外科
  • 收稿日期:2022-04-24 出版日期:2023-06-01
  • 通信作者: 宋卫东
  • 基金资助:
    广东省医学科研基金(A2021280); 中山大学孙逸仙医院逸仙临床研究培育项目(SYS-Q-202105); 逸仙科研启航项目(YXQH202213)

Early clinical outcome of total ankle arthroplasty with Infinity prosthesis

Yanbo Chen, Gang Zeng, Wenzhou Liu, Mengjun Ma, Jiajie Li, Chen Chen, Weidong Song†()   

  1. Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510000, China
  • Received:2022-04-24 Published:2023-06-01
  • Corresponding author: Weidong Song
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

陈彦博, 曾钢, 刘文宙, 马梦君, 李嘉杰, 陈宸, 宋卫东. Infinity假体全踝关节置换早期临床效果分析[J]. 中华关节外科杂志(电子版), 2023, 17(03): 443-447.

Yanbo Chen, Gang Zeng, Wenzhou Liu, Mengjun Ma, Jiajie Li, Chen Chen, Weidong Song. Early clinical outcome of total ankle arthroplasty with Infinity prosthesis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(03): 443-447.

目的

探讨Infinity假体全踝关节置换治疗踝关节炎的早期临床疗效。

方法

回顾性分析2020年6月至2020年12月就诊于孙逸仙纪念医院骨科并行Infinity全踝关节置换的7例终末期踝关节炎患者。分别于术前和术后3、6、12个月评估疼痛视觉模拟(VAS)评分和美国足踝外科学会(AOFAS)踝－后足评分。配对t检验比较患者术前及术后1年评分结果。

结果

患者术后1年VAS评分为较术前降低(t＝3.6，P＝0.011)。术后1年AOFAS评分较术前显著改善(t＝4.0，P＝0.007)。所有患者随访1年以上均未出现感染、假体翻修等并发症。

结论

Infinity全踝关节假体置换对于治疗终末期踝关节炎是安全有效的。

关键词: 踝关节, 骨关节炎, 关节成形术，置换，踝
Objective

To investigate the early clinical outcome of total ankle arthroplasty with Infinity prosthesis in ankle arthritis patients.

Methods

From June 2020 to December 2020, seven patients with end- stage ankle arthritis who received Infinity total ankle arthroplasty in Department of Orthopedics of Sun Yat-sen Memorial Hospital were retrospectively analyzed. Patients were followed up before operation and at three, six, and 12 months after operation for pain visual analog score (VAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) score. Paired t test was used to compare VAS and AOFAS scores before surgery and at one year after surgery.

Results

VAS score at one year after surgery was lower than that before surgery (t=3.6, P=0.011). The AOFAS score at one year after surger was significantly improved compared with that before surgery (t=4.0, P=0.007). All the patients were followed up for more than one year without infection, prosthesis revision or other complications.

Conclusion

Infinity total ankle arthroplasty is safe and effective in the treatment of end-stage ankle arthritis.

Key words: Ankle, Osteoarthritis, Arthroplasty, replacement, ankle
图1 大骨节病患者踝关节置换术前术后左踝关节X线正侧位片。图A为术前X线片，示左踝关节明显狭窄，踝关节力线不佳；图B为联合Infinity胫骨假体和Inborn距骨假体置换术后左踝关节正侧位片，示踝关节间隙恢复，力线良好，假体位置良好
Figure 1 Anteroposterior views of X rays of left ankle with osteoarthritis deformans before and after total ankle arthroplasty. A is view of X rays before operation, showing left ankle stenosis and poor ankle force line; B is view of X rays after total ankle arthroplasty with Inifinity tibia prosthesis and Inborn talus prosthesis, showing that ankle joint space recovered with good force line and prostheses were in good positions
图2 血友病性踝关节炎术前及术后踝关节正侧位X线片。图A为术前右踝关节正侧位，示踝关节明显狭窄、力线不佳；图B为术后右踝关节X线片，示右踝关节间隙恢复，力线良好，假体位置良好
Figure 2 Anteroposterior views of X rays of right ankle with hemophiliac arthritis before and after total ankle arthroplasty. A is view of X rays before operation, showing right ankle stenosis and poor ankle force line; B is view of X rays after total ankle arthroplasty with Inifinity prostheses, showing that ankle joint space recovered with good force line and prostheses were in good positions
图3 血友病性踝关节炎右踝关节置换术后1年双侧踝关节活动度对比，示右侧踝关节活动度明显大于左侧踝关节(左侧行踝关节融合术)。图A为双侧踝关节跖屈活动度；图B为双侧踝关节背伸活动度；图C为双侧踝关节内翻活动度；图D为双侧踝关节外翻活动度
Figure 3 Bilateral ankle motions at one year after total ankle arthroplasty for right ankle with hemophiliac arthritis, showing that motion of the right ankle was better than the left ankle (right side: total ankle replacement, left side: ankle fusion). A is metatarsal flexion motion; B is bilateral dorsal extension motion; C is inversion of bilateral ankles; D is eversion of bilateral ankles
[1]
Valderrabano V, Pagenstert G, Horisberger M, et al. Sports and recreation activity of ankle arthritis patients before and after total ankle replacement[J]. Am J Sports Med, 2006, 34(6): 993－999.
[2]
Veljkovic AN, Daniels TR, Glazebrook MA, et al. Outcomes of total ankle replacement, arthroscopic ankle arthrodesis, and open ankle arthrodesis for isolated non-deformed end-stage ankle arthritis[J]. J Bone Joint Surg Am, 2019, 101(17): 1523－1529.
[3]
Glazebrook M, Daniels T, Younger A, et al. Comparison of health-related quality of life between patients with end-stage ankle and hip arthrosis[J]. J Bone Joint Surg Am, 2008, 90(3): 499－505.
[4]
Jastifer J, Coughlin MJ, Hirose C. Performance of total ankle arthroplasty and ankle arthrodesis on uneven surfaces, stairs, and inclines: a prospective study[J]. Foot Ankle Int, 2015, 36(1): 11－17.
[5]
Pedowitz DI, Kane JM, SmithGM, et al. Total ankle arthroplasty versus ankle arthrodesis: a comparative analysis of arc of movement and functional outcomes[J]. Bone Joint J, 2016, 98－B(5): 634－640.
[6]
Lord G, MarotteJH. Total ankle prosthesis. Technic and 1st results. Apropos of 12 cases[J]. Rev Chir Orthop Reparatrice Appar Mot, 1973, 59(2): 139－151.
[7]
Gougoulias NE, Khanna A, Maffulli N. History and evolution in total ankle arthroplasty[J]. Br Med Bull, 2009, 89: 111－151.
[8]
King A, Bali N, Kassam AA, et al. Early outcomes and radiographic alignment of the Infinity total ankle replacement with a minimum of two year follow-up data[J]. Foot Ankle Surg, 2019, 25(6): 826－833.
[9]
Gross CE, Palanca AA, DeOrio JK. Design rationale for total ankle arthroplasty systems[J]. J Am Acad Orthop Surg, 2018, 26(10): 353－359.
[10]
Cody EA, Taylor MA, Nunley JA 2nd, et al. Increased early revision rate with the INFINITY total ankle prosthesis[J]. Foot Ankle Int, 2019, 40(1): 9－17.
[11]
陈彦博，刘文宙，曾钢，等. 1例全踝关节假体置换报道[J/CD]. 中华关节外科杂志(电子版), 2021, 15(2): 258－260.
[12]
Kuo CC, Lu HL, Leardini A, et al. Three-dimensional co mputer graphics-based ankle morphometry with computerized tomography for total ankle replacement design and positioning[J]. Clin Anat, 2014, 27(4): 659－668.
[13]
陈彦博，曾钢，李嘉杰，等. 联合两代假体全踝关节置换治疗大骨节病踝关节炎[J/CD]．中华关节外科杂志(电子版), 2021, 15(6): 766－769.
[14]
Rushing CJ, Kibbler K, HyerCF, et al. The INFINITY total ankle prosthesis: outcomes at short-term follow-up[J]. Foot Ankle Spec, 2022, 15(2): 119－126.
[15]
Escudero MI, Le V, Barahona M, et al. Total ankle arthroplasty survival and risk factors for failure[J]. Foot Ankle Int, 2019, 40(9): 997－1006.
[1] 李善武, 叶永杰, 王兵, 王子呓, 银毅, 孙官军, 张大刚. 胫骨高位截骨与单髁置换的早期疗效比较[J]. 中华关节外科杂志(电子版), 2023, 17(06): 882-888.
[2] 樊绪国, 赵永刚, 杨砚伟. 腓骨在膝骨关节炎作用的研究观点[J]. 中华关节外科杂志(电子版), 2023, 17(06): 855-859.
[3] 闫文, 谢兴文, 顾玉彪, 雷宁波, 马成, 于文霞, 高亚雄, 张磊. 微小RNA与全膝关节置换术后深静脉血栓的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 842-846.
[4] 张中斌, 付琨朋, 朱凯, 张玉, 李华. 胫骨高位截骨术与富血小板血浆治疗膝骨关节炎的疗效[J]. 中华关节外科杂志(电子版), 2023, 17(05): 633-641.
[5] 陈宏兴, 张立军, 张勇, 李虎, 周驰, 凡一诺. 膝骨关节炎关节镜清理术后中药外用疗效的Meta分析[J]. 中华关节外科杂志(电子版), 2023, 17(05): 663-672.
[6] 王岩, 马剑雄, 郎爽, 董本超, 田爱现, 李岩, 孙磊, 靳洪震, 卢斌, 王颖, 柏豪豪, 马信龙. 外泌体在骨质疏松症诊疗中应用的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(05): 673-678.
[7] 赵之栋, 李众利. 骨关节炎早期诊治的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(05): 689-693.
[8] 刘伦, 王云鹭, 李锡勇, 韩鹏飞, 张鹏, 李晓东. 机器人辅助膝关节单髁置换术的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(05): 715-721.
[9] 胡银华, 薛龙. 中国中老年人症状性膝骨关节炎的发病率及危险因素[J]. 中华关节外科杂志(电子版), 2023, 17(04): 470-478.
[10] 利洪艺, 杨浪, 温国洪, 关鸿, 茹江英, 王湘江. 全膝股骨假体矢状面位置与术后膝前痛及功能的关系[J]. 中华关节外科杂志(电子版), 2023, 17(04): 479-484.
[11] 闫兆龙, 张镇斌, 李广兴, 赵璋, 张业勇, 殷鲁旭, 李树锋. 胫骨高位截骨术治疗膝骨关节炎的早期效果及影响因素[J]. 中华关节外科杂志(电子版), 2023, 17(04): 492-499.
[12] 贺敬龙, 孙炜, 高明宏, 谢伟, 姜骆永, 何琦非, 岳家吉. 外泌体非编码RNA在骨关节炎发病机制中的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(04): 520-527.
[13] 王旭, 师绍敏, 毛燕, 季上, 刘亚玲. 肝酶代谢与骨关节炎相关性的研究进展[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 379-384.
[14] 周晓强, 孙超, 虞宵, 金宇杰, 李志强, 张向鑫, 陈广祥. 同一患者同期行全膝和单髁置换术的早期临床疗效[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 275-281.
[15] 马聪, 李雪靖, 郑晓佐, 张晓阳, 段坤峰, 刘国强, 郄素会. 关节腔内注射富血小板血浆与透明质酸钠治疗Ⅰ-Ⅲ期膝骨关节炎的对比研究[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 282-288.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号