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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Total ankle replacement for rheumatoid ankle arthritis.
Peter L R Wood1, Louise A Crawford, Rajeev Suneja
1Wrightington Hospital Wigan, Hall Lane, Appley Bridge, Wigan, WN6 9EP, UK. peter.wood@wwl.nhs.uk
Foot and Ankle Clinics
|September 4, 2007
Summary
Total ankle replacement offers significant benefits for rheumatoid arthritis patients, preserving joint mobility and yielding high satisfaction rates. Prosthetic survival exceeds 90% at five years, though severe deformities are a contraindication.
Area of Science:
- Orthopedic surgery
- Rheumatology
- Biomedical engineering
Background:
- Rheumatoid arthritis commonly affects the ankle joint, leading to pain and reduced mobility.
- Preserving ankle joint function is crucial for maintaining patient quality of life in rheumatoid arthritis.
Purpose of the Study:
- To review the efficacy and outcomes of total ankle replacement (TAR) in patients with rheumatoid ankle arthritis.
- To highlight the benefits and limitations of TAR for this patient population.
Main Methods:
- Review of recent literature and patient data on total ankle replacement for rheumatoid ankle arthritis.
- Analysis of patient satisfaction, prosthetic survival rates, and contraindications.
Main Results:
- High patient satisfaction reported following total ankle replacement.
- Prosthetic survival rates are consistently over 90% at five years and over 80% at 10 years.
- Severe coronal plane deformity is identified as a contraindication for ankle replacement.
Conclusions:
- Total ankle replacement is a viable and effective treatment for rheumatoid ankle arthritis, offering significant functional benefits.
- High success rates and patient satisfaction support TAR as a treatment option.
- Careful patient selection, excluding those with severe coronal deformity, is essential for optimal outcomes.
