Author/Editor | Kuhta, Matevž; Rečnik, Gregor; Kramberger, Katja; Merc, Matjaž; Kramberger, Slavko | |
Title | Endoproteza gležnja | |
Type | članek | |
Source | Med Mes | |
Vol. and No. | Letnik 5, št. 3-4 | |
Publication year | 2009 | |
Volume | str. 76-83 | |
Language | slo | |
Abstract | The ankle is subjected to weight-bearing forces per square centimeter than the hip or knee and is more commonly injured than any other joint in the body. However the prevalence of symptomatic arthritis is approximately nine times lower than that of the knee or hip. Initial attempts at ankle replacement in 1970s were disappointing. Recent advances in material development, biomechanics and surgical technique allowed the development of uncemented second-generation prosthesis, whose initial results are more encouraging with reports of up to 89 % survival rate at 5 years and 76 % rate at ten years. This review considers history, indications and complications of ankle arthroplasty and current designs. | |
Summary | Zgornji skočni sklep je izpostavljen večjim silam na enoto kot koleno ali kolkter je hkrati tudi eden izmed najbolj pogosto poškodovanih sklepov. Kljub temu je pogostnost simptomatskeartroze v zgornjem skočnem sklepu devetkrat nižja kot v kolku ali kolenu. Začetni poskusi artroplastike v 70. letih prejšnjega stoletja niso bili uspešni. Napredki v razvoju materialov, biomehaniki in operativni tehniki so omogočili razvoj brezcementnih endoprotez druge generacije z 89 % petletnim in 76 % desetletnim preživetjem. Članek opisuje zgodovino, indikacije in zaplete artroplastike ter novejše oblike endoproteze gležnja. | |
Descriptors | JOINT DISEASES ANKLE ARTHROPLASTY |