[Endoprosthesis failure in the ankle joint : Histopathological diagnostics and classification].
Identifieur interne : 000032 ( PubMed/Curation ); précédent : 000031; suivant : 000033[Endoprosthesis failure in the ankle joint : Histopathological diagnostics and classification].
Auteurs : S. Müller [Allemagne] ; M. Walther [Allemagne] ; A. Röser [Allemagne] ; V. Krenn [Allemagne]Source :
- Der Orthopade [ 1433-0431 ] ; 2016.
Abstract
Endoprostheses of the ankle joint show higher revision rates of 3.29 revisions per 100 component years. The aims of this study were the application and modification of the consensus classification of the synovia-like interface membrane (SLIM) for periprosthetic failure of the ankle joint, the etiological clarification of periprosthetic pseudocysts and a detailed measurement of proliferative activity (Ki67) in the region of osteolysis.
DOI: 10.1007/s00132-016-3372-4
PubMed: 28004128
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<author><name sortKey="Muller, S" sort="Muller, S" uniqKey="Muller S" first="S" last="Müller">S. Müller</name>
<affiliation wicri:level="1"><nlm:affiliation>Zentrum für Histologie, Zytologie und molekulare Diagnostik, Max-Planck-Straße 5, 54296, Trier, Deutschland. s.mueller@patho-trier.de.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Zentrum für Histologie, Zytologie und molekulare Diagnostik, Max-Planck-Straße 5, 54296, Trier</wicri:regionArea>
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<author><name sortKey="Walther, M" sort="Walther, M" uniqKey="Walther M" first="M" last="Walther">M. Walther</name>
<affiliation wicri:level="1"><nlm:affiliation>Schön-Klinik München-Harlaching, München, Deutschland.</nlm:affiliation>
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<author><name sortKey="Roser, A" sort="Roser, A" uniqKey="Roser A" first="A" last="Röser">A. Röser</name>
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<author><name sortKey="Krenn, V" sort="Krenn, V" uniqKey="Krenn V" first="V" last="Krenn">V. Krenn</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Endoprosthesis failure in the ankle joint : Histopathological diagnostics and classification].</title>
<author><name sortKey="Muller, S" sort="Muller, S" uniqKey="Muller S" first="S" last="Müller">S. Müller</name>
<affiliation wicri:level="1"><nlm:affiliation>Zentrum für Histologie, Zytologie und molekulare Diagnostik, Max-Planck-Straße 5, 54296, Trier, Deutschland. s.mueller@patho-trier.de.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<author><name sortKey="Walther, M" sort="Walther, M" uniqKey="Walther M" first="M" last="Walther">M. Walther</name>
<affiliation wicri:level="1"><nlm:affiliation>Schön-Klinik München-Harlaching, München, Deutschland.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<author><name sortKey="Roser, A" sort="Roser, A" uniqKey="Roser A" first="A" last="Röser">A. Röser</name>
<affiliation wicri:level="1"><nlm:affiliation>Schön-Klinik München-Harlaching, München, Deutschland.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<author><name sortKey="Krenn, V" sort="Krenn, V" uniqKey="Krenn V" first="V" last="Krenn">V. Krenn</name>
<affiliation wicri:level="1"><nlm:affiliation>Zentrum für Histologie, Zytologie und molekulare Diagnostik, Max-Planck-Straße 5, 54296, Trier, Deutschland.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<series><title level="j">Der Orthopade</title>
<idno type="eISSN">1433-0431</idno>
<imprint><date when="2016" type="published">2016</date>
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<front><div type="abstract" xml:lang="en">Endoprostheses of the ankle joint show higher revision rates of 3.29 revisions per 100 component years. The aims of this study were the application and modification of the consensus classification of the synovia-like interface membrane (SLIM) for periprosthetic failure of the ankle joint, the etiological clarification of periprosthetic pseudocysts and a detailed measurement of proliferative activity (Ki67) in the region of osteolysis.</div>
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<DateCreated><Year>2016</Year>
<Month>12</Month>
<Day>22</Day>
</DateCreated>
<DateRevised><Year>2016</Year>
<Month>12</Month>
<Day>23</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-0431</ISSN>
<JournalIssue CitedMedium="Internet"><PubDate><Year>2016</Year>
<Month>Dec</Month>
<Day>21</Day>
</PubDate>
</JournalIssue>
<Title>Der Orthopade</Title>
<ISOAbbreviation>Orthopade</ISOAbbreviation>
</Journal>
<ArticleTitle>[Endoprosthesis failure in the ankle joint : Histopathological diagnostics and classification].</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00132-016-3372-4</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Endoprostheses of the ankle joint show higher revision rates of 3.29 revisions per 100 component years. The aims of this study were the application and modification of the consensus classification of the synovia-like interface membrane (SLIM) for periprosthetic failure of the ankle joint, the etiological clarification of periprosthetic pseudocysts and a detailed measurement of proliferative activity (Ki67) in the region of osteolysis.</AbstractText>
<AbstractText Label="MATERIAL AND METHOD" NlmCategory="METHODS">Tissue samples from 159 patients were examined according to the criteria of the standardized consensus classification. Of these, 117 cases were derived from periprosthetic membranes of the ankle. The control group included 42 tissue specimens from the hip and knee joints. Particle identification and characterization were carried out using the particle algorithm. An immunohistochemical examination with Ki67 proliferation was performed in all cases of ankle pseudocysts and 19 control cases.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The consensus classification of SLIM is transferrable to endoprosthetic failure of the ankle joint. Periprosthetic pseudocysts with the histopathological characteristics of the appropriate SLIM subtype were detectable in 39 cases of ankle joint endoprostheses (33.3%). The mean value of the Ki67 index was 14% and showed an increased proliferation rate in periprosthetic pseudocysts of the ankle (p-value 0.02037).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In periprosthetic pseudocysts an above average higher detection rate of type 1 SLIM induced by abrasion (51.3%) with an increased Ki67 proliferation fraction (p-value 0.02037) was found, which can be interpreted as local destructive intraosseus synovialitis. This can be the reason for formation of pseudocystic osteolysis caused by high mechanical stress in ankle endoprostheses. A simplified diagnostic classification scoring system of dysfunctional endoprostheses of the ankle is proposed for collation of periprosthetic pseudocysts, ossifications and the Ki67 proliferation fraction.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Müller</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Zentrum für Histologie, Zytologie und molekulare Diagnostik, Max-Planck-Straße 5, 54296, Trier, Deutschland. s.mueller@patho-trier.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Walther</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Schön-Klinik München-Harlaching, München, Deutschland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Röser</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Schön-Klinik München-Harlaching, München, Deutschland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Krenn</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Zentrum für Histologie, Zytologie und molekulare Diagnostik, Max-Planck-Straße 5, 54296, Trier, Deutschland.</Affiliation>
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<Language>ger</Language>
<PublicationTypeList><PublicationType UI="">Journal Article</PublicationType>
<PublicationType UI="">English Abstract</PublicationType>
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<VernacularTitle>Endoprothesenversagen im oberen Sprunggelenk : Histopathologische Diagnostik und Klassifikation.</VernacularTitle>
<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>12</Month>
<Day>21</Day>
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<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Orthopade</MedlineTA>
<NlmUniqueID>0331266</NlmUniqueID>
<ISSNLinking>0085-4530</ISSNLinking>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ki67 proliferation</Keyword>
<Keyword MajorTopicYN="N">Periprosthetic pseudocysts</Keyword>
<Keyword MajorTopicYN="N">Prosthesis failure</Keyword>
<Keyword MajorTopicYN="N">Synovia-like interface membran</Keyword>
<Keyword MajorTopicYN="N">Total ankle replacement</Keyword>
</KeywordList>
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