Osteoarthritis of the Ankle: The Role of Arthroplasty

Chou, Loretta B.; Coughlin, Michael T.; Hansen, Sigvard T.; Haskell, Andrew; Lundeen, Gregg A.; Saltzman, Charles L.; Mann, Roger A.

doi:10.5435/00124635-200805000-00003

Cited by 88 publications

(56 citation statements)

References 35 publications

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“…Studies of normal ankle biomechanics and review of previous implant failures have led to the development of new TAA designs [5,8,10]. First-generation implants were constrained, had an all-polyethylene tibial component, and used cement for implant fixation [9,10].…”

Section: Introductionmentioning

confidence: 99%

How Successful are Current Ankle Replacements?: A Systematic Review of the Literature

Gougoulias

Khanna

Maffulli

2010

Clinical Orthopaedics &Amp; Related Research

413

281

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Total ankle arthroplasty provides an alternative to arthrodesis for management of ankle arthritis. What is the outcome of total ankle arthroplasty implants currently in use? We conducted a systematic literature search of studies reporting on the outcome of total ankle arthroplasty. We included peer-reviewed studies reporting on at least 20 total ankle arthroplasties with currently used implants, with a minimum followup of 2 years. The Coleman Methodology Score was used to evaluate the quality of the studies. Thirteen Level IV studies of overall good quality reporting on 1105 total ankle arthroplasties (234 Agility TM , 344 STAR, 153 Buechel-Pappas TM , 152 HINTEGRA 1 , 98 Salto TM , 70 TNK, 54 Mobility TM ) were included. Residual pain was common (range, 27%-60%), superficial wound complications occurred in 0% to 14.7%, deep infections occurred in 0% to 4.6% of ankles, and ankle function improved after total ankle arthroplasty. The overall failure rate was approximately 10% at 5 years with a wide range (range, 0%-32%) between different centers. Superiority of an implant design over another cannot be supported by the available data.

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Section: Introductionmentioning

confidence: 99%

How Successful are Current Ankle Replacements?: A Systematic Review of the Literature

Gougoulias

Khanna

Maffulli

2010

Clinical Orthopaedics &Amp; Related Research

413

281

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“…Fuchs et al reported that 50 % of patients will have significant limitations to their activities of daily living 20 years after ankle arthrodesis because of arthritis, which develops primarily in the subtalar joint, but also in the talonavicular, calcaneocuboid, and midfoot [9]. In addition, Buchner and Sabo showed significant stiffness in the joints adjacent to the ankle 9 years after ankle arthrodesis and found that clinical outcomes were directly correlated with the range of motion available in the remaining joints of the foot [3,10].…”

Section: Introductionmentioning

confidence: 98%

“…Primary osteoarthritis of the ankle is relatively uncommon. The most common cause of end-stage ankle arthritis is prior ankle fracture or ankle instability as a result of prior ligamentous injury to the ankle [3]. With posttraumatic arthritis constituting approximately 70 % of all end-stage ankle arthritis, inflammatory arthropathy is the second leading cause, with a reported incidence of 12 % [3].…”

Section: Introductionmentioning

confidence: 99%

Total ankle arthroplasty in end-stage ankle arthritis

Demetracopoulos

Halloran

Maloof

et al. 2013

Curr Rev Musculoskelet Med

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Recent advancements in ankle prosthesis design, combined with improved surgical techniques for correction of coronal plane deformity and ligamentous balancing, have led to a resurgence of interest in total ankle arthroplasty for the treatment of end-stage ankle arthritis. Although ankle arthrodesis has long been considered the gold standard treatment for ankle arthritis, recent studies have shown that patients who undergo total ankle replacement have equivalent pain relief and improved function, when compared with patients with an ankle fusion. The purpose of this review is to summarize the indications, advantages, disadvantages, and clinical outcomes of some of the more commonly used modern prostheses for total ankle arthroplasty.

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“…TAA is becoming an increasingly recommended treatment for patients with rheumatoid or posttraumatic arthritis of the ankle [4,10]. One report suggests patients have pain relief and high satisfaction after surgery [4].…”

Section: Introductionmentioning

confidence: 99%

“…One report suggests patients have pain relief and high satisfaction after surgery [4]. Saltzman et al [33] recently published initial findings from a prospective controlled trial of the Scandinavian Total Ankle Replacement System 1 (STAR) TAA versus ankle fusion and reported TAA led to better function and similar pain relief compared with ankles that were fused.…”

Section: Introductionmentioning

confidence: 99%

Total Ankle Arthroplasty in Patients with Hereditary Hemochromatosis

Barg

Elsner

Hefti

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background More than half of patients with hereditary hemochromatosis (HH) have painful arthritis, often including hindfoot osteoarthritis. Total ankle arthroplasty (TAA) is increasingly recommended for patients with painful ankle osteoarthritis. However, the pain relief and function experienced by patients continues to be debated particularly as compared with ankle fusion. Questions/purposes We asked whether (1) the complication rates were low; (2) the components were stable; (3) the patients achieved pain relief; and (4) the patients had satisfactory midterm function, ROM, and quality of life. Patients and MethodsWe retrospectively reviewed all 16 prospectively followed patients (21 implants) with HH who underwent ankle arthroplasty. They had an average age of 59.5 years at the time of surgery. We obtained a visual analog scale for pain, the SF-36, and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score. Component stability was assessed using weightbearing radiographs. The minimum followup was 3.1 years (average, 5.3 years; range, 3.1-8.6 years).Results Postoperatively, one patient had débridement of a painful cyst on the tibial side and one patient had a subfibular débridement with a lateral ligament reconstruction. The tibial and talar components were stable in all ankles. The average pain score decreased from 6.7 (range, 3-10) to 1.9 (range, 0-4). All eight categories of SF-36 score showed improvement. The hindfoot score increased from 46 (range, 22-67) to 84 (range, 74-94). Conclusions Our data suggest TAA in patients with ankle osteoarthritis secondary to HH is associated with a low risk of postoperative complications and produces pain relief and good function.

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Osteoarthritis of the Ankle: The Role of Arthroplasty

Cited by 88 publications

References 35 publications

How Successful are Current Ankle Replacements?: A Systematic Review of the Literature

How Successful are Current Ankle Replacements?: A Systematic Review of the Literature

Total ankle arthroplasty in end-stage ankle arthritis

Total Ankle Arthroplasty in Patients with Hereditary Hemochromatosis

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