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인공발목관절의 임상시험 가이드라인 개발을 위한 문헌적 고찰

Other Titles
 Review of Literatures for Development of Clinical Trial Guideline for Total Ankle Arthroplasty 
Authors
 박진오  ;  이모세  ;  이진우  ;  이수빈  ;  한승환 
Citation
 Journal of Korean Foot and Ankle Society (대한족부족관절학회지), Vol.18(4) : 195-201, 2014 
Journal Title
 Journal of Korean Foot and Ankle Society (대한족부족관절학회지) 
ISSN
 1738-3757 
Issue Date
2014
Keywords
Ankle ; Arthritis ; Ankle replacement arthroplasty ; Clinical trial ; Guideline
Abstract
Purpose: The purpose of this study is to develop guidelines for clinical trial of the total ankle replacement system for premarket approval. Materials and Methods: We selected and analyzed nine peer-reviewed articles whose quality had been proven in a previous phase. Two investigators extracted parameters for guideline criteria, including number of cases, patient age, follow-up period, failure rate, radiographic osteolysis rate, residual pain rate, and percentage of satisfaction. In addition, the inclusion and exclusion criteria were analyzed and developed. Results: Eight level IV studies and one level II study were included. The average number of cases was 159 cases and the mean patient age was 63.5 years. The mean follow-up period was 4.2 years, ranging from two to nine. The average failure rate of total ankle replacement in mid- to long-term follow-up was approximately 13% (2%∼32.3%). The rate of osteolysis was approximately 18%. Residual pain was common (21.4%∼46%), but overall patient satisfaction was approximately 85.6% (67.5%∼97%). Conclusion: The results could be used as criteria for designing the clinical studies, such as number of cases, patient age (over 60 years), and follow-up period (minimum two years). The clinical scoring system and 36-item short form health survey (SF-36) was the most commonly used method for clinical evaluation for total ankle arthroplasty. In addition, the overall results, including failure rate, osteolysis rate, and patient satisfaction, could be used as a parameter of guidelines for premarket approval.
Files in This Item:
T201404650.pdf Download
DOI
10.14193/jkfas.2014.18.4.195
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jin Oh(박진오)
Lee, Mo Ses(이모세)
Lee, Jin Woo(이진우) ORCID logo https://orcid.org/0000-0002-0293-9017
Han, Seung Hwan(한승환) ORCID logo https://orcid.org/0000-0002-7975-6067
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138469
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