Journal article
3D, Weightbearing Topographical Study of Periprosthetic Cysts and Alignment in Total Ankle Replacement
Foot & ankle international, Vol.41(1), pp.1-9
01/2020
DOI: 10.1177/1071100719891411
PMID: 31779466
Abstract
Background:
We investigated the association between hindfoot residual malalignment assessed on weightbearing computed tomography (WBCT) images and the development of periprosthetic cysts (PPCs) after total ankle replacement (TAR). We hypothesized that PPCs would be found predominantly medially in the varus configuration and laterally in the valgus configuration.
Methods:
Cases of primary TAR with available WBCT imaging of the ankle were included in this retrospective study. The location of the PPC was marked and the following volumes were calculated: total (TCV), medial (MCV), central (CCV), and lateral (LCV) cyst volumes. Hindfoot alignment was measured as Foot and Ankle Offset (FAO), with 95% confidence intervals (95% CIs) calculated to define varus (<95% CI) and valgus (>95% CI) groups. Cyst volumes were compared between these 2 groups. The American Orthopaedic Foot & Ankle Society (AOFAS) score at the time of the WBCT was also retrieved. Receiver operating characteristic (ROC) curves were used to determine FAO thresholds for predicting an increased risk of PPC.
Results:
Forty-eight TARs (mean follow-up, 44.6 months) were included, 81% of which had at least 1 PPC. The mean FAO was 0.12% (95% CI, –1.12 to 1.36). Patients with greater residual malalignment ( P < .001) and those with longer follow-up ( P < .001) presented with increased TCV. In varus cases, the MCV was greater than the LCV ( P = .042), with a threshold FAO value of −2.75% or less predicting an increased MCV. In valgus cases, the LCV was greater than the MCV ( P = .049), with a FAO threshold value of 4.5% or more predicting an increased LCV.
Conclusion:
In this series, the PPC volume after primary TAR significantly correlated with postoperative hindfoot malalignment and longer follow-up.
Level of Evidence:
Level III, retrospective comparative series.
Details
- Title: Subtitle
- 3D, Weightbearing Topographical Study of Periprosthetic Cysts and Alignment in Total Ankle Replacement
- Creators
- François Lintz - Générale de SantéJef Mast - Foot and Ankle Unit, ZNA Middelheim, Antwerpen, BelgiumAlessio Bernasconi - Royal National Orthopaedic HospitalNazim Mehdi - Générale de SantéCesar de Cesar Netto - Roy J. and Lucille A. Carver College of MedicineCéline Fernando - Générale de SantéKristian Buedts - ZNA Middelheim HospitalInternational Weight-Bearing CT Society
- Resource Type
- Journal article
- Publication Details
- Foot & ankle international, Vol.41(1), pp.1-9
- DOI
- 10.1177/1071100719891411
- PMID
- 31779466
- ISSN
- 1071-1007
- eISSN
- 1944-7876
- Language
- English
- Date published
- 01/2020
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984304695302771
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