Total ankle replacement

Abstract

Between 1993 and 2000 we implanted 200 cementless, mobile-bearing STAR total ankle replacements. None was lost to follow-up for reasons other than the death of a patient. The mean follow-up was for 46 months (24 to 101). A complication requiring further surgery developed in eight ankles and 14 were revised or fused. The cumulative survival rate at five years was 92.7% (95% CI 86.6 to 98.8) with time to decision to revision or fusion as an endpoint. The most frequent complications were delayed wound healing and fracture of a malleolus. These became less common with experience of the operation. The radiological appearance of the interface of the tibial implant was significantly related to its operative fit and to the type of bioactive coating.

Medial Malleolar Osteotomy for the Correction of Varus Deformity During Total Ankle Arthroplasty: Results in 15 Ankles

“…18 In recent years total ankle arthroplasty has gained popularity, although this procedure has not yet been widely accepted as a treatment option for all arthritic ankle joints. 15,16 Stability in neutral alignment is of paramount importance for a good long-term result after total ankle arthroplasty.…”

Ankle Replacement versus Arthrodesis: A Comparative Gait Analysis Study

“…The high rate of early failure and complications associated with the earlier generation of ankle replacements 4,17 offered no viable surgical alternative to fusion which can provide reliable relief from pain. However, as the problems associated with ankle fusion become increasingly apparent, 3,6,7,8,14 the improved longevity of the second generation of ankle replacements 2,5,17,22,32 is providing a reasonable surgical alternative for consideration. The replacement of the ankle joint gives the theoretical benefit of preservation of movement and function.…”

Scandinavian Total Ankle Replacement: The Surgical Technique

“…1,7,10,[15][16][17][18][19][20][21][22] Generally, it has been found to give very satisfactory results. We shall continue to follow our cases long-term.…”