当前踝关节置换术的成功率如何？文献系统综述。
How successful are current ankle replacements?: a systematic review of the literature.
机构信息
Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London E1 4DG, UK.
出版信息
Clin Orthop Relat Res. 2010 Jan;468(1):199-208. doi: 10.1007/s11999-009-0987-3. Epub 2009 Jul 18.
UNLABELLED
Total ankle arthroplasty provides an alternative to arthrodesis for management of ankle arthritis. What is the outcome of total ankle arthroplasty implants currently in use? We conducted a systematic literature search of studies reporting on the outcome of total ankle arthroplasty. We included peer-reviewed studies reporting on at least 20 total ankle arthroplasties with currently used implants, with a minimum followup of 2 years. The Coleman Methodology Score was used to evaluate the quality of the studies. Thirteen Level IV studies of overall good quality reporting on 1105 total ankle arthroplasties (234 Agility, 344 STAR, 153 Buechel-Pappas, 152 HINTEGRA, 98 Salto, 70 TNK, 54 Mobility) were included. Residual pain was common (range, 27%-60%), superficial wound complications occurred in 0% to 14.7%, deep infections occurred in 0% to 4.6% of ankles, and ankle function improved after total ankle arthroplasty. The overall failure rate was approximately 10% at 5 years with a wide range (range, 0%-32%) between different centers. Superiority of an implant design over another cannot be supported by the available data.
LEVEL OF EVIDENCE
Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
未加标签
全踝关节置换术为踝关节关节炎的治疗提供了除融合术之外的另一种选择。目前使用的全踝关节置换植入物的结果如何？我们对报告全踝关节置换术结果的研究进行了系统的文献检索。我们纳入了至少报告了 20 例使用当前植入物的全踝关节置换术且随访时间至少为 2 年的同行评议研究。使用 Coleman 方法学评分来评估研究的质量。有 13 项总体质量良好的 IV 级研究报告了 1105 例全踝关节置换术（234 例 Agility、344 例 STAR、153 例 Buechel-Pappas、152 例 HINTEGRA、98 例 Salto、70 例 TNK、54 例 Mobility）。残留疼痛很常见（范围为 27%-60%），浅表伤口并发症发生率为 0%-14.7%，深部感染发生率为 0%-4.6%，全踝关节置换术后踝关节功能得到改善。5 年时的总体失败率约为 10%，不同中心之间的差异很大（范围为 0%-32%）。现有数据无法支持某种植入物设计优于另一种设计。
证据水平
IV 级，治疗性研究。有关证据水平的完整描述，请参见作者指南。
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