Lee Kyung Tai, Lee Young Koo, Young Ki Won, Kim Hak Jun, Park Shin Yi, Kim Jin Su, Kim Ki Chun
Foot and Ankle Service, Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of Medicine, Seoul, Republic of Korea.
J Orthop Sci. 2010 May;15(3):317-22. doi: 10.1007/s00776-010-1456-2. Epub 2010 Jun 18.
The perioperative complications associated with MOBILITY total ankle replacement arthroplasty have not yet been reported.
During the research period from May 2008 to June 2009, a total of 30 consecutive cases of ankle arthritis were treated with surgery. An investigation into the perioperative complications for these cases was conducted. Comparison with the previously reported perioperative complications for the HINTEGRA model was made. The 30 cases were divided into two groups wherein the first group underwent surgery during the early half of the study period and the second group underwent surgery during the later half. The incidences of complications between the two groups were then compared.
There was no difference in the incidence of perioperative complications between the use of the HINTEGRA model and the MOBILITY model for total ankle replacement arthroplasty, although medial malleolar fracture was statistically increased with the use of MOBILITY.
The study implies that a new learning curve may affect the outcome of surgery when a newly designed implant is used for total ankle replacement arthroplasty and that long tibial procedure time and long distraction time played a critical role in the incidence of malleolar fracture.
与MOBILITY全踝关节置换术相关的围手术期并发症尚未见报道。
在2008年5月至2009年6月的研究期间，共对30例连续性踝关节关节炎患者进行了手术治疗。对这些病例的围手术期并发症进行了调查。与先前报道的HINTEGRA模型的围手术期并发症进行了比较。将这30例病例分为两组，第一组在研究期的前半期接受手术，第二组在研究期的后半期接受手术。然后比较两组之间的并发症发生率。
在全踝关节置换术中，使用HINTEGRA模型和MOBILITY模型的围手术期并发症发生率没有差异，尽管使用MOBILITY时内踝骨折在统计学上有所增加。
该研究表明，当使用新设计的植入物进行全踝关节置换术时，新的学习曲线可能会影响手术结果，并且胫骨手术时间长和牵引时间长在踝部骨折的发生率中起关键作用。
