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Related Experiment Video

Updated: Feb 16, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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[Research progress on total ankle replacement].

Ya-Xing Li1, Hui Zhang2

  • 1Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.

Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology
|December 29, 2017
PubMed
Summary
This summary is machine-generated.

Total ankle replacement (TAR) offers improved mobility and reduced adjacent joint issues for end-stage ankle arthritis. Despite past challenges, advancements show promising mid- to long-term results, though higher costs and revision rates require careful consideration.

Keywords:
Arthroplasty, replacement, ankleIndicationsProsthesis designReview literature

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total ankle replacement (TAR) was previously abandoned due to early prosthesis failure.
  • Recent advancements in prosthesis design and surgical techniques have revived TAR as a viable treatment option.

Purpose of the Study:

  • To evaluate the current status and future prospects of total ankle replacement.
  • To compare the advantages and disadvantages of TAR versus ankle arthrodesis.

Main Methods:

  • Review of recent studies on total ankle replacement outcomes.
  • Analysis of clinical data regarding prosthesis survival, revision rates, and patient-reported benefits.

Main Results:

  • TAR demonstrates acceptable mid-term and long-term results with expanding indications.
  • Advantages include improved range of motion, gait, and reduced adjacent joint arthritis compared to arthrodesis.
  • Challenges remain, including higher economic costs, lower survival rates, and increased revision rates.

Conclusions:

  • Total ankle replacement is a promising treatment for end-stage ankle arthritis, potentially becoming the gold standard.
  • Careful patient selection and consideration of current limitations are essential for successful outcomes.