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Article Dans Une Revue Foot and Ankle Surgery Année : 2022

97 HINTEGRA ankle prostheses: Results and survival at more than 5 years' follow-up

Résumé

BACKGROUND: In Europe, fixed-bearing implants predominate again in total ankle replacement (TAR). The present single-center single-surgeon study assesses the Hintegra® mobile-bearing implant (NEWDEAL). METHODS: Between November 2008 and November 2015, 97 Hintegra® were implanted in 94 patients: mean age, 62.4±10.9 years (26-83); 59% (57/97) male; normal mean body-mass index (BMI), 27.5±4.3kg/m2. Indications mainly comprised posttraumatic (40.2%), instability (29.9%) and primary osteoarthritis (16.5%). 17.5% of patients had prior surgery during the previous 6 months (9 fusions, 8 ligament reconstructions, and 4 osteotomies); in 59.8%, other procedures were associated to TAR. Functional, clinical and radiological follow-up was conducted at 1 year, 2 years and last follow-up (>5 years). RESULTS: Ninety-four TARs were analyzed at a mean 81±21.6 months (19-124). Revision-free survival was 76% (95% confidence interval (95%CI): 0.66-0.8), and explantation-free survival 92% (95%CI: 0.85-1) with 10 cases of curettage and 5 explantations. Mean AOFAS score improved from 41.8±12.5 (21-69) to 77.5±16.5 (24-100) up (p

Dates et versions

hal-04080617 , version 1 (25-04-2023)

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Adrien van Haecke, Bertrand Semay, Michel-Henri Fessy, Nicolas Romain-Scelle, Jean-Luc Besse. 97 HINTEGRA ankle prostheses: Results and survival at more than 5 years' follow-up. Foot and Ankle Surgery, 2022, 28 (8), pp.1241-1247. ⟨10.1016/j.fas.2022.05.001⟩. ⟨hal-04080617⟩
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