3.9 Article

Outcomes Following Cyst Curettage and Bone Grafting for the Management of Periprosthetic Cystic Evolution After AES Total Ankle Replacement

Journal

CLINICS IN PODIATRIC MEDICINE AND SURGERY
Volume 30, Issue 2, Pages 157-+

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cpm.2012.10.005

Keywords

Ankle arthroplasty; Bone cyst; Osteolysis; Ankle implant revision

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We present a prospective series of 50 AES total ankle replacements performed between 2003 and 2006. The present report concerns medium-term results of cyst curettage-grafting. Twenty total ankle replacements underwent revision: 6 by tibiotalocalcaneal arthrodesis and 14 by cyst curettage-grafting. With 79% and 92% rates of unimproved or worsened functional and radiological status respectively, our results in cyst grafting are poor. No previous series of curettage-graft in evolutive periprosthetic total ankle replacement cyst have been reported. In periprosthetic cyst, we recommend annual radiological surveillance, with CT in case of cyst enlargement and/or increased pain, to allow implant removal and reconstruction-arthrodesis before collapse.

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