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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/4085

Title: Clinical results after total talar replacement with alumina ceramic prosthesis evaluated using SAFE-Q for osteonecrosis of the talus.
Other Titles: 距骨壊死に対するアルミナセラミック性人工距骨置換術のSAFE-Qを用いた臨床成績
Authors: Miura, Kimio
Taniguchi, Akira
Ueno, Yuki
Morita, Shigeki
Kurokawa, Hiroaki
Tanaka, Yasuhito
Keywords: SAFE-Q
total talar replacement
talar osteonecrosis
Issue Date: 30-Nov-2022
Publisher: 奈良医学会
Citation: Journal of Nara Medical Association Vol.73 No.4,5,6 p.55-63 (2022.11)
Abstract: Background: The purpose of this retrospective review was to evaluate the clinical outcomes of patients who underwent total talar replacement for talar necrosis using the SAFE-Q score, which was hypothesized to improve postoperatively. Methods: The study included 24 ankles of 22 patients who underwent total talar replacement from 2012 to 2018 and were evaluated using SAFE-Q preoperatively and postoperatively. Statistical analysis was performed using the mean values of the SAFE-Q and JSSF scale scores, and the range of ankle motion was compared before and 3 years after the surgery using the Wilcoxon signed-rank test. Results: The SAFE-Q scores improved postoperatively in the all the subcategories. “Pain and Pain-Related” changed from a mean value of 42.2±23.9 points preoperatively to a mean value of 84.6±12.6 points postoperatively (p<.01); “Physical Functioning and Daily Living” changed from 36.3±25.2 points to 73.4±20.5 points (p<.01); “Social Functioning” changed from 34.1±34.8 points to 81.0±25.3 points (p<.01); “Shoe-Related” changed from 41.3±28.9 points to 75.4±22.3 points (p<.01); “General Health and Well-Being” changed from 36.7±32.1 to 76.9±29.3 points (p<.01). Conclusion: Twenty-four osteonecrotic tali of 22 patients treated with alumina ceramic total talar replacement achieved good clinical results, as evaluated using the JSSF ankle/hindfoot score and SAFE-Q. Alumina ceramic total talar replacement is the mainstream treatment for talar osteonecrosis.
Description: 博士(医学)・甲第856号・令和4年12月22日
URI: http://hdl.handle.net/10564/4085
ISSN: 13450069
Academic Degrees and number: 24601A856
Degree-granting date: 2022-12-22
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2022年度

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