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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2017 | Research article

Accuracy assessment of measuring component position after total ankle arthroplasty using a conventional method

Authors: Kyoung-Jai Lee, Shao-Hua Wang, Gun-Woo Lee, Keun-Bae Lee

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

Abstract

Background

This study was to assess the accuracy of measuring the tibial and talar components position and to investigate the outlier rate of each component and predisposing factors related to component malalignment after total ankle arthroplasty (TAA) using a conventional method.

Methods

One hundred fifty consecutive primary total ankle arthroplasty were performed using the three-component HINTEGRA prosthesis for ankle end-stage osteoarthritis. Radiographic analysis for the accuracy of component position in coronal and sagittal plane was conducted at postoperative 6 months. Additionally, the accuracy of component position was evaluated according to presence of preoperative deformity or joint incongruency.

Results

The mean postoperative coronal angles of the tibial and talar components (α and γ) were 91.9° and 91.3°. The mean postoperative sagittal angles of the tibial and talar components (β and δ angle) were 84.6° and 91.7°. In the coronal plane, 16 (10.7%) tibial components and 15 (10.0%) talar components showed outliers greater than 5°. In sagittal plane, 15 (10.0%) tibial components and 29 (19.3%) talar components showed outliers greater than 5°. There was no meaningful increase of the outlier rate regarding presence of preoperative deformity or joint incongruency.

Conclusions

In conventional method of TAA, the outlier rate of the tibial and talar components was about 10 to 20%, especially, the outlier rate of talar component in sagittal plane was up to 20%. Therefore, careful attention should be paid to implant the talar component in conventional TAA.

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Title: Accuracy assessment of measuring component position after total ankle arthroplasty using a conventional method
Authors: Kyoung-Jai Lee
Shao-Hua Wang
Gun-Woo Lee
Keun-Bae Lee
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-017-0611-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Accuracy assessment of measuring component position after total ankle arthroplasty using a conventional method

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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