Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina (BDV, MAK, ATS).
Foot Ankle Spec. 2023 Jun;16(3):267-272. doi: 10.1177/19386400221118495. Epub 2022 Aug 24.
Total ankle arthroplasty (TAA) remains a viable option for recalcitrant, end-stage ankle arthritis. Among the various Food and Drug Administration (FDA)-approved prosthetic options is the fixed-bearing Salto Talaris implant. The aim of the present study was to evaluate the intermediate to long-term clinical outcomes and radiographic complications following implantation of the Salto Talaris TAA.
Nineteen Salto Talaris total ankle implants were included in the present retrospective study. Medical records were reviewed to determine pre- and postoperative visual analog scale (VAS) pain scores, and both medical records and radiographs were utilized to assess for complications. Telephone interviews were then conducted to assess for overall patient satisfaction.
At a mean follow of 6.9 years (range, 3.5-12 years), there was a 21% complication rate according to the classification system described by Glazebrook et al. The reoperation rate was low at 10.5%, and there was 100% survivorship of the total ankle implant. The average pain decreased from 9.1 (range, 7-10) preoperatively to 2.6 (range, 0-10) postoperatively. Patients reported a 95% satisfaction rate, and 16% of patients reported using a brace postoperatively.
The Salto Talaris arthroplasty was associated with low complication and reoperation rates, and a high survivorship at intermediate to long-term follow-up.
全踝关节置换术（TAA）仍然是治疗顽固性终末期踝关节关节炎的可行选择。在各种获得美国食品和药物管理局（FDA）批准的假体选择中，有一种固定轴承的 Salto Talaris 植入物。本研究的目的是评估 Salto Talaris TAA 植入后的中期至长期临床结果和放射学并发症。
本回顾性研究共纳入 19 例 Salto Talaris 全踝关节假体。通过查阅病历记录确定术前和术后视觉模拟评分（VAS）疼痛评分，并结合病历和影像学检查评估并发症。然后进行电话访谈以评估总体患者满意度。
平均随访 6.9 年（范围，3.5-12 年），根据 Glazebrook 等人描述的分类系统，并发症发生率为 21%。再手术率低至 10.5%，全踝关节植入物的 100%存活率。平均疼痛从术前的 9.1（范围，7-10）降至术后的 2.6（范围，0-10）。患者报告的满意度为 95%，16%的患者术后使用支具。
Salto Talaris 关节置换术在中期至长期随访中具有较低的并发症和再手术率，以及较高的存活率。
4 级。
