Skip to main content
Log in

Frühergebnisse nach Implantation der STAR-Sprunggelenkprothese

Short-term results after STAR total ankle replacement

  • Originalien
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

In einer retrospektiven Studie wurden die klinischen und radiologischen Ergebnisse nach Implantation einer STAR-Sprunggelenkprothese untersucht.

Material und Methoden

49 Patienten mit einem Durchschnittsalter von 62,5 Jahren wurden zwischen Januar 2000 und September 2004 mit einer Sprunggelenkprothese vom Typ STAR versorgt. Nach durchschnittlich 30,4 Monaten wurden 48 Patienten klinisch und radiologisch nachuntersucht und der Kofoed-Ankle-Score sowie die subjektive Zufriedenheit ermittelt.

Ergebnisse

Der Kofoed-Ankle-Score konnte durch die Operation signifikant von 28 auf 86 Punkte verbessert werden. 90% der Patienten waren mit dem Operationsergebnis subjektiv zufrieden. Die Revisionsrate betrug 10%.

Schlussfolgerung

Die Frühergebnisse nach Implantation einer STAR-Sprunggelenkprothese sind ermutigend. Bei korrekter Indikationsstellung kann mit großer Wahrscheinlichkeit eine deutliche Schmerzreduktion und eine hohe Patientenzufriedenheit erzielt werden. Ob sich die OSG-Prothesen im langfristigen Verlauf bewähren, bleibt abzuwarten.

Abstract

Background

This retrospective study was performed to investigate the clinical and radiological results after STAR total ankle replacement.

Material and methods

Between January 2000 and September 2004, 49 patients with an average age of 62.5 years underwent total ankle replacement with the STAR prosthesis. At an average follow-up of 30.4 months, 48 patients were examined clinically and radiologically. The Kofoed ankle score and the patients’ subjective satisfaction were evaluated.

Results

The operation improved the Kofoed ankle score significantly, from 28 to 86 points, 90% of the patients were satisfied with the results. The revision rate was 10%.

Conclusion

The early results after implantation of the STAR ankle prosthesis are encouraging. With correct indication, a high rate of pain reduction and patient satisfaction can be achieved. The long-term benefit of this procedure has yet to be determined.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2

Literatur

  1. Abdo RV, Wasilewski SA (1992) Ankle arthrodesis: a long-term study. Foot Ankle 13: 307–312

    PubMed  CAS  Google Scholar 

  2. Anderson T, Montgomery F, Carlsson A (2003) Uncemented STAR total ankle prosthesis. Three to eight-year follow-up of fifty-one consecutive ankles. J Bone Joint Surg Am 85: 1321–1329

    PubMed  Google Scholar 

  3. Bauer G, Eberhardt O, Rosenbaum D et al. (1996) Total ankle replacement. Review and critical analysis of the current status. J Foot Ankle Surg 2: 119–126

    Article  Google Scholar 

  4. Bolton-Maggs BG, Sudlow RA, Freeman MAR (1985) Total ankle arthroplasty: a long-term review of the London Hospital experience. J Bone Joint Surg Br 67: 785–790

    PubMed  CAS  Google Scholar 

  5. Buchner M, Sabo D (2003) Ankle fusion attributable to posttraumatic arthrosis: a long-term follow up of 48 patients. Clin Orthop 406: 155–164

    Article  PubMed  Google Scholar 

  6. Carlsson AS, Montgomery F, Besjakov J (1998) Arthrodesis of the ankle secondary to replacement. Foot Ankle Int 19: 240–245

    PubMed  CAS  Google Scholar 

  7. Felix NA, Kitaoka HB (1998) Ankle arthrodesis in patients with rheumatoid arthritis. Clin Orthop 349: 56–64

    Google Scholar 

  8. Frey C, Halikus NM, Vu-Rose T, Ebramzadeh E (1994) A review of ankle arthrodesis: predisposing factors to non-union. Foot Ankle Int 15: 581–584

    PubMed  CAS  Google Scholar 

  9. Gabrion A, Jarde O, Havet E et al. (2004) Ankle arthrodesis after failure of a total ankle prosthesis. Eight cases. Rev Chir Orthop Reparatrice Appar Mot 90: 353–359

    PubMed  CAS  Google Scholar 

  10. Haddad SL, Coetzee JC, Estok R et al. (2007) Intermediate and long-term outcomes of total ankle arthroplasty and ankle arthrodesis. J Bone Joint Surg Am 89: 1899–1905

    Article  PubMed  CAS  Google Scholar 

  11. Hagena FW, Christ R, Kettrukat M (2003) Die Endoprothese am oberen Sprunggelenk. FussSprungg 1: 48–55

    Google Scholar 

  12. Haskell A, Mann RA (2004) Perioperative complication rate of total ankle replacement is reduced by surgeon experience. Foot Ankle Int 25: 283–289

    PubMed  Google Scholar 

  13. Hintermann B (1999) Die STAR-Sprunggelenkprothese. Orthopade 28: 792–803

    Article  PubMed  CAS  Google Scholar 

  14. Kitaoka HB, Patzer GL (1996) Clinical results of the Mayo total ankle arthroplasty. J Bone Joint Surg Am 78: 1658–1664

    PubMed  CAS  Google Scholar 

  15. Kofoed H (1999) Die Entwicklung der Sprunggelenksarthroplastik. Orthopade 28: 804–811

    Article  PubMed  CAS  Google Scholar 

  16. Kofoed H (2004) Scandinavian total ankle replacement (STAR). Clin Orthop 424: 73–79

    Article  PubMed  Google Scholar 

  17. Leicht P, Kofoed H (1992) Subtalar arthrosis following ankle arthrodesis. Foot 2: 89–92

    Article  Google Scholar 

  18. Lynch AF, Bourne RB, Rorabeck CH (1988) The long-term results of ankle arthrodesis. J Bone Joint Surg Br 70: 113–116

    PubMed  CAS  Google Scholar 

  19. McGuire MR, Kyle RF, Gustilo RB, Premer RF (1988) Comperative analysis of ankle arthroplasty versus ankle arthrodesis. Clin Orthop 226: 174–181

    PubMed  Google Scholar 

  20. Newton SE III (1982) Total ankle arthroplasty. Clinical study of fifty cases. J Bone Joint Surg Am 64: 104–111

    PubMed  Google Scholar 

  21. Pyevich MT, Saltzman CL, Callaghan JJ et al. (1998) Total ankle arthroplasty: a unique design. Two to twelve-year follow-up. J Bone Joint Surg Am 80: 1410–1420

    PubMed  CAS  Google Scholar 

  22. Smith TW, Elson RA, Hay SM (1993) Long-term follow-up of total ankle arthroplasty. The Sheffield experience. J Bone Joint Surg Orthop Proc 75(Suppl): 297

    Google Scholar 

  23. Stengel D, Bauwens K, Ekkernkamp A, Cramer J (2005) Efficacy of total ankle replacement with meniscal-bearing devices: a systematic review and meta-analysis. Arch Orthop Trauma Surg 125: 109–119

    Article  PubMed  Google Scholar 

  24. Thermann H, Huefner T, Roehler A, Tscherne H (1996) Die Schraubenarthrodese des oberen Sprunggelenkes. Technik und Ergebnisse. Orthopade 2: 166–176

    Google Scholar 

  25. Tillmann K, Schaar M, Schaar B, Fink B (2003) Ergebnisse von OSG-Endoprothesen bei rheumatoider Arthritis. FussSprungg 1: 56–65

    Article  Google Scholar 

  26. Unger AS, Inglis AE, Mow CS, Figgie HE (1988) Total ankle arthroplasty in rheumatoid arthritis: a long-term follow-up study. Foot Ankle 8: 173–179

    PubMed  CAS  Google Scholar 

  27. Wood PLR, Deakin S (2003) Total ankle replacement. J Bone Joint Surg Br 85: 334–341

    Article  PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. Schönherr.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schönherr, R., Fuss, S., Körbl, M. et al. Frühergebnisse nach Implantation der STAR-Sprunggelenkprothese. Orthopäde 37, 783–787 (2008). https://doi.org/10.1007/s00132-008-1311-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-008-1311-8

Schlüsselwörter

Keywords

Navigation