title: Outcomes following cyst curettage and bone grafting for the management of periprosthetic cystic evolution after AES total ankle replacement.
abstract: 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.
authors: Department of Orthopaedic and Traumatologic Surgery, Lyon-Sud Hospital, 69 495 Pierre-Benite Cedex, France. jean-luc.besse@chu-lyon.fr
authors: Jean-Luc
authors: JL
authors: Besse
authors: Christophe
authors: C
authors: Lienhart
authors: Michel-Henri
authors: MH
authors: Fessy
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis; D019643:Arthroplasty, Replacement; D001845:Bone Cysts / Q000601:surgery*; D016025:Bone Transplantation; D003475:Curettage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult