Abstract
When systemical and local conservative treatment fails in the case of rheumatoid affection of the ankle joint, synovectomy should be the first consideration and option. The functional results of a timely and technically correct synovectomy cannot be equalized by any reconstructive surgery, neither by arthrodesis nor by endoprosthetic replacement. Even late synovectomies (LED-grade 2–3) may render acceptable results, preserving any possibility of retreat in case of failure: this is important especially for young patients (33).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Alvine, FG (1991), Total ankle arthroplasty: concepts and approach. Contemporary Orthopaedics 22: 387–403
Bucholz, H.W, Engelbrecht E, Siegel A (1973), Total Sprunggelenksendoprothese MO’Dell St Georg. Chirurg 44: 241–4
Buechel FF, Pappas MJ (1992), Survivorship and clinical evalution of cementless meniscal bearing total ankle replacement. Sem Arthroplasty 3: 43–50
Buechel FF, Pappas M.J, Iorio LJ (1988), New Jersey low contact stress total ankle replacement. Biomechanical rationale and review of 23 cementless cases. Foot & Ankle 44: 279–90
Carlsson AS, Henricson A., Lindner L et al. (2001), 10 years survival analysis of 69 Bath and Wessex ankle replacements. Foot and Ankle Surg 7: 39–44
Coester L.M, Saltzmann CL, Leupold J et al. (2001) Long-term results following ankle arthrodesis for posttraumatic arthritis. J Bone Joint Surg 83-A: 219–28
Cracciolo III A., Cimino WR, Lian G (1992), Arthrodesis of the ankle in patients who have rheumatoid arthritis. J Bone Joint Surg 74-A: 903–9
Doets HC (1998), The low Contact Stress Buechel-Pappas total ankle prothesis. In: Kofoed H (ed): Current status of ankle arthroplasty. Springer-Verlag pp. 29–33
Garcia S, Camacho JM, Segur P et al. (2001) Stress fractures of the tibia after ankle arthrodesis: a review of three cases. Foot and Ankle Surg 7: 175–80
Hansens ST Jr (1998), Cementless ankle arthroplasty in the United States of America: The Alvine Agility Total Ankle Arthroplasty. In: Kofoed H. (ed): Current status of ankle arthroplasty. Springer-Verlag pp. 37–40
Hay S.M, Smith TWD (1994), Total ankle arthroplasty: a long term review. The Foot 4:1–5
Hilker A, Miiehlke R (1997), Das rheumatische Sprunggelenk. Med Orth Techn 117: 102–10
Hintermann B (1999), Die S.T.A.R.-Sprunggelenkprothese. Kurz-und mittelfristige Erfahrungen. Orthopäde 28: 792–803
Iwatawa H, Yashuhara N, Kawashima K et al. (1980), Arthrodesis of the ankle joint with rheumatoid arthritis. Clin Orthop 153: 189–93
Kirkup J (2002), Personal communication
Kofoed H (1999), Die Entwicklung der Sprunggelenksarthroplastik. Orthopäde 28: 804–11
Kofoed H., Stürup J (1994), Comparison of ankle arthroplasty and arthrodesis. A prospective series with long term follow-up. The Foot 4: 6–9
Kofoed H, Tillmann K (2000), Das obere Sprunggelenk Bemerkung zu einem Beitrag. In: Der Orthopäde (1999) 28: 529–237 und die Erwiderung der Autoren. Orthopäde 29: 171-2
Lauge-Pedersen H, Knutson K, Rydholm U (1998), Percutaneous ankle arthrodesis in the rheumatoid patient without debridement of the joint. The Foot 8: 226–9
Leicht P, Kofoed H (1992), Subtalar arthrosis following ankle arthrodesis. The Foot 2: 89–92
Lord G, Marotte JH (1973), Prothèse totale de cheville. Technique et premiers résultats. À propos de 12 observations. Rev Chir Orthop 59: 139–51
Müller EJ, Wick M, Muhr G (1999), Chirurgische Therapie bei Inkongruenzen und Arthrosen am oberen Sprunggelenk. Orthopäde 28: 529–37
Pahle JA (1987), Möglichkeiten und Komplikationen der operativen Behandlung am rheumatischen Fuß. Akt Rheumatol 12: 25–31
De Palma L, Santucci A, Verdenelli A et al. (2000), Arthroscopic arthrodesis of the ankle in rheumatoid patients. Foot an Ankle Surg 6: 261–6
Schill S, Thabe H (1998), Ankle arthroplasty: A clinical follow-up. In Kofoed H. (ed), Current status of ankle arthroplasty. Springer-Verlag pp. 90–3
Schmidt K, Haaker R (1998), Arthroskopische Behandlung des rheumatischen Sprunggelenks. Arthritis + Rheuma 18: 46–53
Sinn W, Tillmann K (1986), Mittelfristige Ergebnisse der TPR-Sprunggelenksendoprothese. Akt Rheumatol 11: 231–6
Smith E, Wood PRL, Ankle arthrodesis in rheumatoid patients. Foot & Ankle 10: 252–6
Steiger U, Gschwendt N (1987), Die Zugschraubenarthrodese nach Wagner bei Destruktion des Rückfußes. Akt Rheumatol 12: 41–4
Takakura Y, Tanaka Y, Sugimoto K et al. (1990), Ankle arthroplasty. A comparative study of cemented metal and uncemented ceramic protheses. Clin Orthop 252: 209–16
Thodarson DB, Chang D (1999), Stress fractures and tibial cortical hypertrophy after tibiocalcaneal arthrodesis with an intramedullary nail. Foot & Ankle 20: 497–500
Tillmann K (1979), The rheumatoid foot. Diagnosis, Pathomechanics and Treatment. Thieme, Stuttgart
Tillmann K (1990), Value of synovectomy. In: Revisional surgery in rheumatoid arthritis (eds. Hämäläinen M., Hagena F.-W., Schwägerl, W., Teigland, J. Rheumatology 13: 1–13
Tillmann K (1995), Eingriffe am oberen Sprunggelenk In: Wirth, CJ, Kohn, D, Siebert, WE: Rheumaorthopädie-untere Extremität. Springer-Verlag 166–73
Tillmann K (1998) Ankle joint replacement. In: Wülker, N, Stephens, M, Cracciolo III, A: An atlas of foot and ankle surgery. London, Dunitz 345–50
Tillmann K (2003), Differentialindikation zwischen OSG Arthrodese/Endoprothese beim Rheumatiker In: Imhoff A., Zollinger-Kies H (ed.), Fußchirurgie, Stuttgart
Turan I., Wredmark T, Fellender-Tsal L (1995) Arthroskopie ankle arthrodesis in rheumatoid arthritis. Clin Orthop 320: 110–4
Uuspää V, Raunio P (1987), Ankle arthrodesis: Rheumatology 11 104–13
Vahvanen V (1969) Arthrodesis of the TC or pantalar joints in rheumatoid arthritis. Acta Orthop Scand 40: 642–52
Wood, PLR (1998), Total ankle replacement (Link S. T. A. R.) for rheumatoid arthritis. In: Kofoed H (ed.) Current status of ankle arthroplasty. Springer-Verlag 34–6
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer Verlag France
About this chapter
Cite this chapter
Tillmann, K., Fink, B. (2006). Respective indications of talocrural arthrodesis and ankle prosthesis with different situations in rheumatoid arthritis. In: Foot and ankle in rheumatoid arthritis. Springer, Paris. https://doi.org/10.1007/2-287-30558-0_14
Download citation
DOI: https://doi.org/10.1007/2-287-30558-0_14
Publisher Name: Springer, Paris
Print ISBN: 978-2-287-59757-2
Online ISBN: 978-2-287-30558-0
eBook Packages: MedicineMedicine (R0)