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Updated: May 11, 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 arthroplasty: a radiographic outcome study.

Amie Y Lee1, Alice S Ha, Jonelle M Petscavage

  • 1Department of Radiology, University of Washington, Box 354755, 4245 Roosevelt Way NE, Seattle, WA 98105, USA.

AJR. American Journal of Roentgenology
|May 25, 2013
PubMed
Summary

Radiographic complications are frequent after total ankle arthroplasty (TAA), impacting clinical outcomes such as pain and instability. Understanding these common radiographic findings is crucial for radiologists managing TAA patients.

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Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Biomedical Engineering

Background:

  • Total ankle arthroplasty (TAA) is an increasingly favored surgical option for end-stage ankle arthrosis, offering an alternative to ankle fusion.
  • Previous research has predominantly concentrated on the surgical aspects and outcomes of TAA.
  • A comprehensive understanding of radiographic outcomes and their correlation with clinical results is essential for patient management and procedural refinement.

Purpose of the Study:

  • To evaluate the radiographic outcomes following total ankle arthroplasty (TAA).
  • To investigate the association between radiographic findings and the clinical outcomes in patients who have undergone TAA.
  • To identify common radiographic complications after TAA and their clinical implications.

Main Methods:

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Published on: January 23, 2018

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Last Updated: May 11, 2026

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  • A retrospective review of 262 total ankle arthroplasties (TAAs) in 260 patients over a 9-year period.
  • Analysis of all available ankle radiographs and clinical data, employing descriptive statistics, Fisher exact test, and Kaplan-Meier survival analysis.
  • Assessment of radiographic complications and their correlation with clinical symptoms (pain, instability) and reoperation rates.

Main Results:

  • A significant proportion of TAAs (62.2%) exhibited radiographic complications, including periprosthetic lucency, hardware subsidence, and fractures.
  • Over 45% of patients reported symptoms of ankle pain or instability post-TAA.
  • Radiographic complications were strongly associated with increased rates of ankle pain (41.7% vs. 23.7%) and the need for reoperation (33.1% vs. 17.1%) compared to those without such complications (p < 0.05).

Conclusions:

  • Radiographic complications are a common occurrence after total ankle arthroplasty (TAA).
  • A significant positive correlation exists between postoperative radiographic findings and the clinical outcomes experienced by patients.
  • Familiarity with prevalent postoperative radiographic findings is vital for radiologists involved in the interpretation of TAA imaging and patient care.