Abstract
Abstract: The early stages of ankle arthroplasty were complicated by unsatisfactory surgical results and poor patient satisfaction. This paper reveals far greater patient satisfaction and excellent surgical results achieved from the STAR uncemented ankle replacement.
Materials and Methods: We reviewed the first 29 STAR ankle replacements carried out by the senior author. Patients were reviewed clinically and radiographically according to the AAOS hind-foot score. Failure was deemed to be revision of the implant. Reason for surgery was rheumatoid arthritis in twelve patients and primary or secondary osteoarthritis in seventeen patients.
Results: One patient required revision surgery. This was an osteopoenic rheumatoid patient and the revision was for component subsidence. Three patients from the initial stages required minor soft tissue and bony resection at a second procedure with retention of the prosthesis. Patient satisfaction was high. Clinically, the average ROM was 5deg dorsiflexion and 12 deg plantarflexion. Patient satisfaction was extremely high. While the AAOS score does not give a grading, we also applied the Kofoed scale and 28 of our patients achieved a good or excellent result.
Conclusion: We conclude that the STAR uncemented ankle replacement achieves very good clinical results and excellent patient satisfaction.
The abstracts were prepared by Mr Ray Moran. Correspondence should be addressed to him at Irish Orthopaedic Associaton, Secretariat, c/o Cappagh National Orthopaedic Hospital, Finglas, Dublin 11.
