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The Capital Region of Denmark - a part of Copenhagen University Hospital
E-pub ahead of print

Mid-term results after treatment of complex talus osteochondral defects with HemiCAP implantation

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BACKGROUND: HemiCAP for complex osteochondral defects (OCDs) in talus has been on the market since 2008. Few follow-up studies exist. Patients with complex OCDs were followed for up to 81 months.

METHODS: 31 consecutive patients were assessed preoperatively and at final follow-up, mean 50 months. All patients were treated with the HemiCAP®, Arthrosurface Inc., USA inlay. Inclusion criteria were complex OCDs of the medial or lateral talus dome.

RESULTS: All outcome measures i.e. AOFAS, FAOS and NRS improved significantly. 71.8 % of the cohort were employed preoperatively. At final follow up 87.5% were employed. No revisions of the HemiCAP was performed, but 41,9% had supplementary surgery. 1 patient had a superficial infection otherwise no complications were found. Preoperative and final follow-up x-rays were analysed.

CONCLUSIONS: Mid-term results after HemiCAP talus are good. Patient information and selection is mandatory due to the high numbers of additional surgeries following the HemiCap implantation.

Original languageEnglish
JournalFoot and Ankle Surgery
ISSN1268-7731
DOIs
Publication statusE-pub ahead of print - 9 May 2019

ID: 57329016