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Updated: Mar 17, 2026
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
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Retrospective analysis of 110 ankle prostheses
1Service de Chirurgie Orthopédique et Traumatologique, CHU Nancy, Hôpital Central, 29 avenue du Maréchal de Lattre de Tassigny C.O. n° 34, 54035, Nancy Cedex, France, France.
Summary
This study evaluated 110 third-generation ankle arthroplasties, finding significant pain reduction in 70% of patients. However, functional improvements, like dorsal flexion, were limited, impacting walking ability.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Ankle arthroplasty is an alternative to ankle arthrodesis for debilitating ankle conditions.
- Third-generation prostheses aim to improve outcomes and longevity in ankle joint replacement.
Purpose of the Study:
- To evaluate the clinical outcomes of third-generation total ankle arthroplasty (TAA).
- To assess pain relief, functional improvement, and patient satisfaction following TAA.
Main Methods:
- A multicenter study involving 110 patients undergoing TAA with Star, LCS, or Ramses prostheses.
- Follow-up was conducted over 3 years, with data collected on pain, function, and walking perimeter.
- Indications included post-traumatic arthrosis and rheumatoid arthritis.
Main Results:
- Significant pain improvement reported in 70% of cases.
- Limited improvement in functional outcomes, particularly dorsal flexion.
- Increased walking perimeter observed in over 40% of patients.
Conclusions:
- Third-generation ankle arthroplasty can effectively reduce pain.
- Functional deficits, such as limited dorsal flexion, remain a challenge.
- Careful patient selection and consideration of alternatives like arthrodesis are crucial.
Keywords:
Ankle Prostheses Arthroplasty
