Related Experiment Video
Updated: May 31, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Total ankle arthroplasty for rheumatoid arthritis]
1MVZ-Gelenkzentrum Rosenheim, Schön Klinik Harthausen, Bad Aibling. Ste-Schill@t-online.de
Zeitschrift Fur Rheumatologie
|June 22, 2011
Summary
Second generation total ankle arthroplasty offers a viable alternative to ankle fusion for rheumatoid arthritis patients, providing 8-10 years of pain-free function and faster recovery.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Biomedical Engineering
Context:
- Rheumatoid arthritis (RA) commonly affects the ankle joint, leading to pain and disability.
- Ankle fusion (arthrodesis) has been the traditional surgical treatment for severe ankle arthritis.
- Second-generation total ankle arthroplasty (TAA) has emerged as a significant alternative treatment option.
Purpose:
- To evaluate the efficacy and outcomes of modern second-generation total ankle arthroplasty in patients with rheumatoid arthritis.
- To compare TAA with ankle fusion in terms of functional recovery, pain relief, and long-term survival rates.
Summary:
- Second-generation TAA demonstrates midterm survival rates of 70-90% at 10 years in RA patients.
- TAA allows for faster remobilization and preserves ankle correction capabilities compared to fusion.
- Patients with RA can expect 8-10 years of pain-free function with TAA, suitable for lower physical demand individuals.
Impact:
- TAA provides a valuable alternative to ankle fusion, improving functional outcomes and quality of life for RA patients.
- It offers a potentially reversible solution with options for revision surgery or conversion to arthrodesis if needed.
- This approach expands treatment possibilities, especially when severe bone destruction or instability favors arthrodesis or as a salvage option.
