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Total ankle replacement revisited.

C L Saltzman1, T E McIff, J A Buckwalter

  • 1Department of Orthopaedic Surgery, University of Iowa, Iowa City 52242-1088, USA. charles-saltzman@uiowa.edu

The Journal of Orthopaedic and Sports Physical Therapy
|February 29, 2000
PubMed
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Total ankle replacement offers a viable surgical option for end-stage ankle arthritis, providing pain relief and improved function. Modern designs show encouraging early results, making ankle arthroplasty an effective treatment for selected patients.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • End-stage ankle arthritis necessitates surgical intervention, with ankle arthrodesis and total ankle replacement as primary options.
  • Total ankle replacement has emerged as a significant alternative to ankle arthrodesis over the last decade.

Purpose of the Study:

  • To review clinical outcomes of total ankle replacement (TAR) and ankle arthrodesis.
  • To discuss indications, contraindications, design features, rehabilitation, and results of current TAR implants.
  • To explore future directions and concepts in total ankle replacement development.

Main Methods:

  • Review of clinical results from total ankle replacement and ankle arthrodesis studies.
  • Analysis of design features for modern total ankle prostheses, including syndesmosis fusion/resurfacing and mobile-bearing implants.

Related Experiment Videos

  • Discussion of patient selection, surgical techniques, and postoperative rehabilitation protocols.

    • Main Results:

    • Modern total ankle replacement designs demonstrate encouraging early clinical results in limited series.
    • Ankle arthroplasty is effective for pain relief and functional improvement in selected patients with end-stage ankle arthritis.
    • Two prevalent but distinct prosthetic design approaches are explored, highlighting their advantages and concerns.

    Conclusions:

    • Total ankle replacement is a viable and effective surgical treatment for end-stage ankle arthritis.
    • Careful patient selection and understanding of different implant designs are crucial for successful outcomes.
    • Ongoing innovation in total ankle replacement aims to further enhance long-term efficacy and patient function.