Early clinical outcome of total ankle arthroplasty with Infinity prosthesis

doi:10.3877/cma.j.issn.1674-134X.2023.03.023

Abstract

Abstract:

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

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.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2023.03.023

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2023/V17/I03/443

Figures/Tables 3

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

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

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

References 15

[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.

Please choose a citation manager

Content to export