Document Detail

Ankle arthroplasty. A comparative study of cemented metal and uncemented ceramic prostheses.
MedLine Citation:
PMID:  2302887     Owner:  NLM     Status:  MEDLINE    
From 1975 to 1980, total ankle arthroplasty was performed using a metal and polyethylene prosthesis on 30 ankles in 28 patients with painful arthritis. However, because loosening and sinking of the prosthesis were significant, a ceramic total prosthesis was designed in 1980 to be used without cement. Between 1980 and 1987, 39 ankles in 35 patients with osteoarthritis, rheumatoid arthritis, and hemophilic arthritis were replaced using the ceramic prosthesis. Out of 39 ankles, nine were replaced with cement and 30 without cement. The follow-up period for the cemented metal and ceramic cases ranged from 13.4 to 6.2 years, with an average of 8.1 years, and for uncemented ceramic cases from 1.2 to 6.4 years, with an average of 4.1 years. Based on a rating scale for ankle evaluation, 27% of the cemented cases and 67% of the uncemented cases are satisfactory. Five metal ankles and one ceramic ankle were reoperated upon, with one revision and five arthrodeses performed. Ceramic total ankle arthroplasty, performed without cement, has to date provided mostly excellent stable results.
Y Takakura; Y Tanaka; K Sugimoto; S Tamai; K Masuhara
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-03-29     Completed Date:  1990-03-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  209-16     Citation Subset:  AIM; IM    
Department of Orthopedic Surgery, Nara Medical University, Japan.
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MeSH Terms
Aged, 80 and over
Ankle Joint / physiology,  surgery*
Arthroplasty / methods*
Joint Prosthesis*
Middle Aged
Prosthesis Design
Stainless Steel
Reg. No./Substance:
0/Polyethylenes; 12597-68-1/Stainless Steel

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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