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Updated: Mar 2, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
12.5K
Kinematics and Function of Total Ankle Replacements Versus Normal Ankles
Justin M Kane1, Scott Coleman2, James W Brodsky3
1Foot and Ankle Division, Orthopedic Associates of Dallas, Baylor University Medical Center, 3900 Junius Street, Suite 500, Dallas, TX 75246, USA; Foot and Ankle Surgery Fellowship Program, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA.
Foot and Ankle Clinics
|May 16, 2017
Summary
Total ankle arthroplasty (TAA) significantly improves gait function and reduces pain in patients with end-stage ankle arthritis. While function doesn't reach healthy levels, TAA offers clinically meaningful improvements over preoperative status.
Area of Science:
- Orthopedics
- Biomechanics
- Rehabilitation Medicine
Background:
- End-stage ankle arthritis causes significant functional disability.
- Gait abnormalities are a key indicator of this disability.
Purpose of the Study:
- To evaluate the functional gait improvements following total ankle arthroplasty (TAA).
- To compare postoperative gait parameters with preoperative function in TAA patients.
Main Methods:
- Gait analysis was performed on patients before and after TAA.
- Key gait parameters including step length, cadence, velocity, motion, power, and moment were measured.
Main Results:
- TAA led to statistically significant improvements in all measured gait parameters compared to preoperative function.
- Improvements were observed in step length, cadence, velocity, ankle/hip/knee motion, and ankle power/moment.
- Patients reported significant pain relief and increased satisfaction post-TAA.
Conclusions:
- Total ankle arthroplasty provides clinically meaningful and statistically significant functional gait improvements for end-stage ankle arthritis.
- While functional outcomes do not match healthy controls, TAA offers substantial benefits over the preoperative state.
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