vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2025.2.CLIN.4vmireaviz-1174Research ArticleКлиническая медицинаClinical medicineРезультаты выживаемости имплантатов после тотального эндопротезирования голеностопного сустава (систематический обзор литературы)Implant survival outcomes after total ankle replacement (a systematic literature review)БурковД. В.BurkovD. V.

Бурков Дмитрий Владимирович, Врач травматолог-ортопед отделения ортопедии

ул. Лобачевского д. 42, г. Москва, 119415

Dmitriy V. Burkov, Traumatologist-orthopedist, Department of Orthopedics

42, st. Lobachevskogo Moscow, 119415

arthrodv@mail.ruhttps://orcid.org/0000-0001-5753-8926МурылевВ. Ю.MurylevV. Yu.

Мурылев Валерий Юрьевич, Врач травматолог-ортопед, д.м.н., профессор кафедры травматологии, ортопедии и хирургии катастроф

ул. Трубецкая, д. 8/2, г. Москва, 119991

Valeriy Yu. Murylev, Traumatologist-orthopedist, MD, professor of the Department of Traumatology, Orthopedics and Disaster Surgery

8/2, Trubetskaya st., Moscow, 119991

nmuril@yandex.ruhttps://orcid.org/0000-0003-4996-1657ГаркавиА. В.GarkaviA. V.

Гаркави Андрей Владимирович, Профессор кафедры травматологии, ортопедии и хирургии катастроф ИКМ им. Н.В. Склифосовского

ул. Трубецкая, д. 8/2, г. Москва, 119991

Andrey V. Garkavi, Professor of the Department of Traumatology, Orthopedics and Disaster Surgery of the N.V. Sklifosovsky Institute of Cardiology

8/2, Trubetskaya st., Moscow, 119991

avgar22@yandex.ruhttps://orcid.org/0000-0002-2202-8149ЛычагинА. В.LychaginA. V.

Лычагин Алексей Владимирович, Профессор, заведующий кафедрой травматологии, ортопедии и хирургии катастроф ИКМ им. Н.В. Склифосовского

ул. Трубецкая, д. 8/2, г. Москва, 119991

Aleksey V. Lychagin, Professor, Head of the Department of Traumatology, Orthopedics and Disaster Surgery, N.V. Sklifosovsky Institute of Cardiology

8/2, Trubetskaya st., Moscow, 119991

dr.lychagin@mail.ruhttps://orcid.org/0000-0001-6692-0975ДанильянцА. А.Danil'yantsA. A.

Данильянц Армен Альбертович, Ординатор кафедры травматологии и ортопедии

ул. Миклухо-Маклая, д. 6, г. Москва, 117198

Armen A. Danil'yants, Resident of the Department of Traumatology and Orthopedics

6, Miklukho-Maklaya st., Moscow, 117198

armendts@mail.ruБурковаИ. Н.BurkovaI. N.

Буркова Ирина Николаевна, Врач рентгенолог, Научно-клинический центр № 3,

пер. Абрикосовский, д. 2, г. Москва, 119435

Irina N. Burkova, Ray doctor, Scientific and Clinical Center No. 3

Abrikosovsky lane, 2, Moscow, 119435

burkovain@mail.ruhttps://orcid.org/0000-0001-7507-7772АйрапетовГ. А.AyrapetovG. A.

Айрапетов Георгий Александрович, Д-р мед. наук, главный внештатный специалист травматологортопед, заместитель главного врача по травматологии и ортопедии; профессор кафедры травматологии и ортопедии

ул. Лобачевского д. 42, г. Москва, 119415

ул. Миклухо-Маклая, д. 6, г. Москва, 117198

Georgiy A. Ayrapetov, Dr. Sci. (Med.), Chief Specialist Traumatologist-Orthopedist, Deputy Chief Physician for Traumatology and Orthopedics; Professor of the Department of Traumatology and Orthopedics

42, st. Lobachevskogo Moscow, 119415

6, Miklukho-Maklaya st., Moscow, 117198

airapetovga@yandex.ruГородская клиническая больница № 31 имени академика Г.М. СавельевойРоссияCity Clinical Hospital No. 31 named after Academician G.M. SavelyevaRussian FederationПервый московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University)Russian FederationРоссийский университет дружбы народов имени Патриса ЛумумбыРоссияPatrice Lumumba Peoples' Friendship University of RussiaRussian FederationРоссийский научный центр хирургии имени академика Б.В. ПетровскогоРоссияRussian Scientific Center of Surgery named after Academician B.V. PetrovskyRussian FederationГородская клиническая больница № 31 имени академика Г.М. Савельевой; Российский университет дружбы народов имени Патриса ЛумумбыРоссияCity Clinical Hospital No. 31 named after Academician G.M. Savelyeva; Patrice Lumumba Peoples' Friendship University of RussiaRussian Federation2025020620251528996Copyright © Бурков Д.В., Мурылев В.Ю., Гаркави А.В., Лычагин А.В., Данильянц А.А., Буркова И.Н., Айрапетов Г.А., 20252025Бурков Д.В., Мурылев В.Ю., Гаркави А.В., Лычагин А.В., Данильянц А.А., Буркова И.Н., Айрапетов Г.А.Burkov D.V., Murylev V.Y., Garkavi A.V., Lychagin A.V., Danil'yants A.A., Burkova I.N., Ayrapetov G.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/1174Цель

Цель: оценить результаты выживаемости имплантатов после тотального эндопротезирования голеностопного сустава, количества ревизионных операций, проведя систематический обзор литературы на данную тему.

Материалы и методы

Материалы и методы. Поиск научных статей проводился двумя независимыми исследователями в базах данных Elibrary, Pubmed, Research Gate и Google Academy на двух языках – русском и английском. Глубина поиска – 5 лет. Всего было проанализировано 247 публикаций, из них: Pubmed – 52; Research Gate – 100; Google Academy – 66, Elibrary – 29. После окончательного отбора в исследование были включены 6 научных работ, из которых 2 являются национальными регистрами, 3 – ретроспективными и 1 – проспективным когортными исследованиями.

Результаты

Результаты. Средняя выживаемость эндопротезов голеностопного сустава в раннем послеоперационном периоде (1–2 года) близка к 100%, в среднесрочном периоде (5–7 лет) показатель выживаемости имплантатов находится на уровне 90%, показатель 10-летней выживаемости эндопротезов имеет значения от 77% до 87,5%. Среднее значение показателя ревизионных операций в течение 19 лет составляет 12,9%.

Выводы

Выводы. Срок службы эндопротезов голеностопного сустава близок к 100% в течение первых 2 лет. Однако в долгосрочной перспективе показатель выживаемости имплантатов находится в диапазоне 77–87,5%. Причины, приводящие к необходимости выполнения ревизионных вмешательств изучены не до конца. По мнению авторов, не устранённые осевые деформаций при эндопротезировании голеностопного сустава прямо влияют на выживаемость имплантатов. Безусловно, для более детального понимания этого вопроса необходимо провести дополнительные исследования.

Aim of the study

Aim of the study: to conduct a systematic review of the literature on the evaluation of implant survival outcomes after total ankle arthroplasty, the number of revision surgeries.

Materials and methods

Materials and methods. The search for scientific articles was conducted by two independent researchers in the Elibrary, Pubmed, Research Gate, and Google Academy databases in two languages: Russian and English. The search depth was 5 years. A total of 247 publications were analyzed, including: Pubmed: – 52; Research Gate – 100; Google Academy – 66, Elibrary – 29. After the final selection, 6 scientific papers were included in the study, of which 2 were national registries, 3 were retrospective and 1 was a prospective cohort study.

Results

Results. The average survival rate of ankle endoprostheses in the early postoperative period (1–2 years) is close to 100%, in the medium term (5-7 years) the implant survival rate is at the level of 90%, the 10-year survival rate of endoprostheses has values from 77% to 87.5%. The average value of the revision surgery rate over 19 years is 12.9%.

Conclusion

Conclusion. The service life of ankle joint endoprostheses is close to 100% during the first 2 years. However, in the long term, the implant survival rate is in the range of 77%-87.5%. The reasons leading to the need for revision interventions have not been fully studied. According to the authors, unresolved axial deformations during ankle joint endoprosthetics directly affect the survival of the implants. Of course, additional research is needed to understand this issue in more detail.

Тотальное эндопротезирование голеностопного сустава [D000674]Выживаемость имплантатов [D007285]Артропластика голеностопного сустава [D019645]Систематический обзор [D016454]Эндопротезы голеностопного сустава [D001178]Долгосрочные результаты [D001530]Ревизионные операции [D012086]Асептическое расшатывание [D058106]Осложнения эндопротезирования [D000842]Реэндопротезирование [D000072502]Total ankle replacement [D000674]Implant survival [D007285]Ankle arthroplasty [D019645]Systematic review [D016454]Ankle prostheses [D001178]Long-term outcomes [D001530]Revision surgery [D012086]Aseptic loosening [D058106]Arthroplasty complications [D000842]Revision arthroplasty [D000072502]ReferencesБрижань Л.К., Юрмина Н.С., Сливков К.А., Керимов А.А. Хирургическая профилактика посттравматического крузартроза у пациентов с переломами лодыжек. Вестник Национального медико-хирургического центра им. НИ Пирогова. 2018;13(1):79-84.1 Brizhan L.K., Yurmina N.S., Slivkov K.A., Kerimov A.A. 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The authors declare that there are no conflicts of interest present.