Total Ankle Replacement Using HINTEGRA, an Unconstrained, Three-Component System : Surgical Technique and Pitfalls - 16/11/12
, Markus Knupp, MD a, Heath B. Henninger, PhD b, Lukas Zwicky, MSc a, Beat Hintermann, MD a
Corresponding author.Résumé |
Total ankle replacement (TAR) has become a valuable treatment option in patients with end-stage ankle osteoarthritis. One popular 3-component system, the HINTEGRA TAR, is an unconstrained system that provides inversion-eversion stability. More natural biomechanics of the replaced ankle may be expected when anatomic considerations drive prosthesis design. The HINTEGRA prosthesis includes 2 anatomically contoured metal components and a polyethylene insert, providing axial rotation and physiologic flexion-extension mobility. This article describes the HINTEGRA TAR design and surgical technique. Use of the prosthesis for complex hindfoot reconstruction in patients with an osteoarthritic, varus, or valgus ankle deformity is described.
Le texte complet de cet article est disponible en PDF.Keywords : Total ankle replacement, Three-component total ankle prosthesis, HINTEGRA prosthesis, Valgus osteoarthritic ankle, Varus osteoarthritic ankle, Functional outcome
Plan
| One or more of the authors (B.H.) has received royalties from Integra. All royalties that the senior author (B.H.) received were given to the research fund at the institution were the work was performed (Kantonsspital Liestal, Switzerland). |
Vol 17 - N° 4
P. 607-635 - décembre 2012 Retour au numéro
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