Department of Orthopaedics, Centro Hospitalar do Porto, Hospital de Santo António, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal.
Foot Ankle Surg. 2013 Dec;19(4):229-33. doi: 10.1016/j.fas.2013.05.004. Epub 2013 Aug 24.
High physical demand and young age are currently considered contraindications for total ankle replacement. This study aimed to compare its results between patients under the age of 50 and those aged 50 or older.
103 patients derived from an ongoing prospective multicentric study with a mean follow-up of 41 (range, 24-72) months were included in this study. Clinical status (AOFAS score), range of motion (ROM), complication and survivorship rates were compared between <50 and ≥50 patients.
ROM and AOFAS score were significantly higher, as were their increases relatively to pre-operative values in patients <50. Complication and survivorship rates were comparable between both groups.
At medium-term, ankle replacement is at least as effective in patients under the age of 50 as in those with aged 50 or older. Long-term results will allow to assess whether surgical indications for should be revised.
高身体需求和年轻的年龄目前被认为是全踝关节置换术的禁忌症。本研究旨在比较 50 岁以下和 50 岁及以上患者的结果。
本研究纳入了一项正在进行的前瞻性多中心研究中的 103 例患者，平均随访 41（范围 24-72）个月。比较了<50 岁和≥50 岁患者之间的临床状态（AOFAS 评分）、活动范围（ROM）、并发症和存活率。
<50 岁患者的 ROM 和 AOFAS 评分明显更高，与术前相比增加幅度也更大。两组患者的并发症和存活率相当。
在中期，踝关节置换术在 50 岁以下患者中的效果至少与 50 岁及以上患者相当。长期结果将有助于评估是否应修改手术适应证。
