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Updated: Jul 27, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Complications of total ankle replacement
1University of Pittsburgh Medical Center, Department of Orthopaedic Surgery, PA, USA.
Clinical Orthopaedics and Related Research
|October 18, 2001
Summary
Second-generation total ankle arthroplasty offers a promising solution for tibiotalar arthritis. This study analyzes complications of these newer prostheses, aiding surgeons in patient selection and technique.
Area of Science:
- Orthopaedic Surgery
- Biomedical Engineering
Background:
- Total ankle arthroplasty (TAA) is an option for tibiotalar arthritis unresponsive to conservative care.
- First-generation prostheses had high complication rates, limiting adoption.
- Second-generation designs aim to improve outcomes with novel features.
Purpose of the Study:
- To analyze complications associated with current second-generation total ankle arthroplasty systems.
- To provide insights for surgeons regarding patient selection, prosthetic design, and surgical technique.
Main Methods:
- Classification of complications into preoperative/patient selection, prosthetic design, intraoperative, and postoperative categories.
- Review of published literature and anecdotal evidence on second-generation TAA outcomes.
- Discussion of potential solutions and controversies surrounding identified complications.
Main Results:
- Second-generation TAA is gaining popularity for symptomatic ankle arthritis.
- Complications are multifactorial, including patient-related factors and device design.
- Limited published data necessitates careful interpretation of current results.
Conclusions:
- Understanding anatomy and biomechanics is crucial for successful TAA.
- Surgeons must possess thorough knowledge of specific TAA systems used.
- Careful patient selection and awareness of potential complications are key to favorable outcomes.
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