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Войти в исследования Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons · 2024
Lower risk of revision in fixed-bearing compared to mobile-bearing total ankle arthroplasties: A register based evaluation of 1246 patients in the Netherlands.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Vink Marije C, van Steenbergen Liza N, de Hartog Bas, Zijlstra Wierd P, van Raaij Tom M, Peters Rinne M
Аннотация
BACKGROUND: Total ankle arthroplasty (TAA) has been developed as treatment for disabling tibiotalar osteoarthritis. TAAs are divided into mobile- and fixed-bearings. The aim was to determine the incidence and trends of fixed- and mobile bearings over time and investigate the association of bearing type and risk of revision after primary TAA in the Netherlands.
METHODS: Using data from the Dutch Arthroplasty Register (LROI) (2014-2023), we analyzed trends in use of bearing type, reasons for revision and implant survival (n = 1246).
RESULTS: Fixed bearings were more often used than mobile bearings (67 % versus 33 %). Revision risk at 3, 5 and 7 years was respectively 2.8 %, 3.3 %, and 5.4 % for fixed bearings, versus 6.5 %, 10.4 %, and 11.3 % for mobile bearings. The adjusted hazard ratio was 2.5 (95 %CI 1.4-4.4) for mobile bearings.
CONCLUSION: Fixed bearings were associated with a lower revision risk than mobile bearings in total ankle arthroplasties based on Dutch registry data.
LEVEL OF EVIDENCE: II.
METHODS: Using data from the Dutch Arthroplasty Register (LROI) (2014-2023), we analyzed trends in use of bearing type, reasons for revision and implant survival (n = 1246).
RESULTS: Fixed bearings were more often used than mobile bearings (67 % versus 33 %). Revision risk at 3, 5 and 7 years was respectively 2.8 %, 3.3 %, and 5.4 % for fixed bearings, versus 6.5 %, 10.4 %, and 11.3 % for mobile bearings. The adjusted hazard ratio was 2.5 (95 %CI 1.4-4.4) for mobile bearings.
CONCLUSION: Fixed bearings were associated with a lower revision risk than mobile bearings in total ankle arthroplasties based on Dutch registry data.
LEVEL OF EVIDENCE: II.