Total Ankle Replacement Using HINTEGRA, an Unconstrained, Three-Component System Surgical Technique and Pitfalls

被引：59

作者：

Barg, Alexej ^{[1
,2
]}

Knupp, Markus ^{[1
]}

Henninger, Heath B. ^{[2
]}

Zwicky, Lukas ^{[1
]}

Hintermann, Beat ^{[1
]}

机构：

[1] Kantonsspital Liestal, Clin Orthopaed Surg, CH-4410 Liestal, Switzerland

[2] Univ Utah, Univ Orthopaed Ctr, Harold K Dunn Orthopaed Res Lab, Salt Lake City, UT 84108 USA

来源：

FOOT AND ANKLE CLINICS | 2012年 / 17卷 / 04期

关键词：

Total ankle replacement; Three-component total ankle prosthesis; HINTEGRA prosthesis; Valgus osteoarthritic ankle; Varus osteoarthritic ankle; Functional outcome; 1ST METATARSOPHALANGEAL JOINT; SEVERE VARUS DEFORMITY; QUALITY-OF-LIFE; END-STAGE ANKLE; KINEMATIC CHANGES; HETEROTOPIC OSSIFICATION; SUPRAMALLEOLAR OSTEOTOMY; REALIGNMENT SURGERY; TRIPLE HEMISECTION; PAIN RELIEF;

D O I：

10.1016/j.fcl.2012.08.006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Total ankle replacement (TAR) has become a valuable treatment option in patients with end-stage ankle osteoarthritis. One popular 3-component system, the HINTEGRA TAR, is an unconstrained system that provides inversion-eversion stability. More natural biomechanics of the replaced ankle may be expected when anatomic considerations drive prosthesis design. The HINTEGRA prosthesis includes 2 anatomically contoured metal components and a polyethylene insert, providing axial rotation and physiologic flexion-extension mobility. This article describes the HINTEGRA TAR design and surgical technique. Use of the prosthesis for complex hindfoot reconstruction in patients with an osteoarthritic, varus, or valgus ankle deformity is described.

引用

页码：607 / +

页数：30

共 118 条

[1] Deep fascia on the dorsum of the ankle and foot: Extensor retinacula revisited [J].

Abu-Hijleh, Marwan F. ;

Harris, Philip F. .

CLINICAL ANATOMY, 2007, 20 (02) :186-195

[2] Hindfoot Alignment Valgus Moment Arm Increases in Adult Flatfoot With Achilles Tendon Contracture [J].

Arangio, George ;

Rogman, Alberic ;

Reed, James F., III .

FOOT & ANKLE INTERNATIONAL, 2009, 30 (11) :1078-1082

[3]

BARENFELD PHILIP A., 1967, CLIN ORTHOP RELATED RESIN COMPLICATIONS OF ORTHOPAEDIC SURGERY, V53, P147

[4]

Barg A, 2011, ORTHOPADE, V40, P991, DOI 10.1007/s00132-011-1828-0

[5] Risk factors for symptomatic deep-vein thrombosis in patients after total ankle replacement who received routine chemical thromboprophylaxis [J].

Barg, A. ;

Henninger, H. B. ;

Hintermann, B. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2011, 93B (07) :921-927

[6] Simultaneous bilateral versus unilateral total ankle replacement A PATIENT-BASED COMPARISON OF PAIN RELIEF, QUALITY OF LIFE AND FUNCTIONAL OUTCOME [J].

Barg, A. ;

Knupp, M. ;

Hintermann, B. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2010, 92B (12) :1659-1663

[7] Haemophilic arthropathy of the ankle treated by total ankle replacement: a case series [J].

Barg, A. ;

Elsner, A. ;

Hefti, D. ;

Hintermann, B. .

HAEMOPHILIA, 2010, 16 (04) :647-655

[8] Simultaneous bilateral total ankle replacement using a 3-component prosthesis Outcome in 26 patients followed for 2-10 years [J].

Barg, Alexej ;

Henninger, Heath B. ;

Knupp, Markus ;

Hintermann, Beat .

ACTA ORTHOPAEDICA, 2011, 82 (06) :704-710

[9] The Effect of Three-Component Total Ankle Replacement Malalignment on Clinical Outcome: Pain Relief and Functional Outcome in 317 Consecutive Patients [J].

Barg, Alexej ;

Elsner, Andreas ;

Anderson, Andrew E. ;

Hintermann, Beat .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2011, 93A (21) :1969-1978

[10] Total Ankle Replacement in Obese Patients: Component Stability, Weight Change, and Functional Outcome in 118 Consecutive Patients [J].

Barg, Alexej ;

Knupp, Markus ;

Anderson, Andrew E. ;

Hintermann, Beat .

FOOT & ANKLE INTERNATIONAL, 2011, 32 (10) :925-932

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