The Salto Talaris Total Ankle Arthroplasty System: A Review and Report of Early Results

Incidence of Revision After Primary Implantation of the Salto® Mobile Version and Salto Talaris™ Total Ankle Prostheses: A Systematic Review

“…Five studies involving 212 Salto TalarisÔ total ankle prostheses, with a weighted mean follow-up period of 34.9 months, were included (Table) (24,(42)(43)(44)(45)(46). Overlapping patients were evident for 1 data set involving disclosed consultants (43,44), and the data were abstracted as noted.…”

“…A total of 8 studies involving 1,209 Salto Ò mobile version prostheses, with a weighted mean follow-up period of 55.2 months (20,24,(31)(32)(33)35,36,(38)(39)(40)(41), and 5 studies involving 212 Salto TalarisÔ total ankle prostheses, with a weighted mean follow-up period of 34.9-months (24,(42)(43)(44)(45)(46), could be identified that met the inclusion criteria.…”

“…In contrast, data that excluded these individuals had an incidence of revision of 2.8% (19 of 692) for the Salto Ò mobile version and 2.0% (2 of 98) for the Salto TalarisÔ total ankle prosthesis (20,24,(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46). This was an unexpected finding because a major criticism of the studies that have involved inventors, design team members, or disclosed consultants is that they, by definition, represent a special interest group with much greater experience in using the particular implant design than the average surgeon.…”

“…The potential for a learning curve effect could also exist because the implantation of total ankle replacement systems in the United States has evolved from limited use in the late 1990s to commonplace at present (86,87). For instance, the Salto Ò mobile version prosthesis data included this learning curve (20,24,(31)(32)(33)(34)36); however, the Salto TalarisÔ Total Ankle Prostheses data included data from surgeons experienced with the implantation of total ankle replacement systems in general (24,(42)(43)(44)(45)(46). However, the true effect, if any, a potential learning curve has on the incidence of revision for the Salto Ò mobile version and Salto TalarisÔ total ankle prostheses remains a matter for conjecture.…”

Patient-Reported Outcomes, Function, and Gait Mechanics After Fixed and Mobile-Bearing Total Ankle Replacement

“…Functionally, the replacement improves dorsiflexion moments and ankle motion as well as walking speed 15 . Conversely, the Salto Talaris implant (Tornier, Bloomington, Minnesota) has a two-component fixed polyethylene bearing that maintains congruency with its talar component in flexion and extension and allows only 4°of varus/valgus movement in the coronal plane 13,16,17 . Unlike the research surrounding mobile implants, there have been few assessments of fixed-bearing designs.…”