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Related Experiment Video

Updated: Jun 15, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

[Our experience with AES total ankle replacement].

S Popelka1, P Vavrík, I Landor

  • 1I. ortopedická klinika 1. LF UK, FN Motol, Praha. mudr.popelka@volny.cz

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|March 11, 2010
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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This study evaluated the AES prosthesis for severe ankle arthritis, finding improved pain relief and mobility but noting complications like loosening and instability. Careful surgical technique and patient selection are crucial for long-term success.

Area of Science:

  • Orthopedic surgery
  • Biomaterials engineering

Background:

  • Severe ankle arthritis often requires surgical intervention, with arthrodesis and arthroplasty as primary options.
  • Arthrodesis provides definitive stability, while arthroplasty preserves joint mobility but has limitations in indications and durability.

Purpose of the Study:

  • To present the clinical experience with the AES prosthesis for total ankle replacement.
  • To highlight potential drawbacks and complications associated with this specific surgical treatment.

Main Methods:

  • A cohort of 51 patients (33 female, 18 male) underwent AES ankle replacement between 2003 and 2008.
  • Indications included rheumatoid, primary, and post-traumatic ankle arthritis, with follow-up ranging from 4 months to 5 years.
  • Patients were assessed for pain, joint mobility, and radiographic signs of component loosening.

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Main Results:

  • Post-operative AOFAS scores improved significantly from 33.7 to 82.3.
  • 68.7% of patients were pain-free, with improved range of motion.
  • Complications included malleolar fracture (3.9%), wound healing issues (13.7%), liner dislocation (1.9%), talar necrosis (1.9%), instability (5.8%), and component loosening (5.8%), necessitating revision in 13.7% of cases.

Conclusions:

  • Total ankle replacement, including the AES prosthesis, is complex and associated with technical challenges and complications.
  • Surgeon experience and meticulous surgical technique are critical for successful outcomes.
  • Longevity is highly dependent on accurate implantation and appropriate patient selection.