TY - JOUR
T1 - Mid-term results after treatment of complex talus osteochondral defects with HemiCAP implantation
AU - Ebskov, Lars Bo
AU - Hegnet Andersen, Kim
AU - Bro Rasmussen, Peter
AU - Johansen, Jens Kurt
AU - Benyahia, Mostafa
N1 - Copyright © 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - 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.
AB - 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.
KW - Ankle
KW - HemiCAP
KW - Metal resurfacing implant
KW - Osteochondral defects
KW - Talus
UR - http://www.scopus.com/inward/record.url?scp=85065833369&partnerID=8YFLogxK
U2 - 10.1016/j.fas.2019.05.003
DO - 10.1016/j.fas.2019.05.003
M3 - Journal article
C2 - 31126796
SN - 1268-7731
VL - 26
SP - 384
EP - 390
JO - Foot and Ankle Surgery
JF - Foot and Ankle Surgery
IS - 4
ER -