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Related Experiment Video

Updated: May 28, 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

[Total ankle replacement in rheumatoid arthritis].

P F Rippstein1, F D Naal

  • 1Zentrum für Fußchirurgie, Schulthess-Klinik, Lengghalde 2, CH-8008, Zürich, Schweiz. pascal.rippstein@kws.ch

Der Orthopade
|October 20, 2011
PubMed
Summary

Rheumatoid arthritis patients with inflammatory ankle arthritis can choose between fusion or arthroplasty. This review details total ankle arthroplasty pros and cons for rheumatoid arthritis, aiding surgical decisions.

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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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Area of Science:

  • Orthopedics
  • Rheumatology
  • Surgical Innovation

Context:

  • Rheumatoid arthritis (RA) is a systemic autoimmune disease impacting multiple joints.
  • RA can lead to bone damage, particularly in the ankle, affecting surgical treatment choices.
  • Inflammatory ankle arthritis presents complex management challenges.

Purpose:

  • To review the advantages and disadvantages of total ankle arthroplasty (TAA) in rheumatoid arthritis patients.
  • To highlight key surgical considerations for performing TAA in the context of RA.
  • To inform optimal surgical decision-making for inflammatory ankle arthritis.

Summary:

  • This review examines total ankle arthroplasty (TAA) as a surgical option for rheumatoid arthritis (RA) patients with inflammatory ankle arthritis.
  • It contrasts TAA with ankle fusion, discussing benefits and drawbacks specific to the RA disease process.
  • Key surgical techniques and patient selection factors for TAA in RA are emphasized.

Impact:

  • Provides crucial insights for orthopedic surgeons managing rheumatoid arthritis patients with ankle involvement.
  • Aids in patient counseling regarding the risks and benefits of total ankle arthroplasty.
  • Contributes to evidence-based guidelines for surgical treatment of inflammatory arthritis in the ankle.

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