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Updated: Feb 6, 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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Outcome after 52 Salto Ankle Prostheses Implanted by a Single Surgeon.
Frank W M Faber1, Monique J L Mastboom2, Sabine T van Vliet-Koppert2
1Department of Orthopaedic Surgery, Bergman Clinics, Rijswijk, Netherlands.
Advances in Orthopedics
|August 30, 2018
Summary
Total ankle replacement (TAR) offers a viable alternative to ankle fusion for end-stage arthritis. This study found high patient satisfaction and implant survival rates with TAR, suggesting its reliability.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Ankle arthrodesis was the traditional treatment for end-stage ankle arthritis.
- Total ankle replacement (TAR) is an alternative, but patient satisfaction varies.
- Investigating TAR outcomes, particularly patient satisfaction, is crucial.
Purpose of the Study:
- To evaluate implant survival and patient satisfaction rates after total ankle replacement (TAR).
- To compare outcomes of TAR performed by a single surgeon with existing literature.
- To assess the Salto prosthesis as a reliable solution for end-stage ankle arthritis.
Main Methods:
- Retrospective cohort study involving 52 patients who underwent TAR between 2002 and 2014.
- Mean follow-up duration of 4.2 years.
- Data collection focused on implant survival and patient-reported satisfaction.
Main Results:
- High patient satisfaction rate of 94% was observed.
- TAR demonstrated a 94% survival rate after 5 years.
- Outcomes were comparable to previously published literature.
Conclusions:
- Total ankle replacement (TAR) with the Salto prosthesis is a reliable treatment for end-stage ankle arthritis.
- The study achieved patient satisfaction and implant survival rates consistent with the literature.
- TAR is a viable option for patients with disabling end-stage ankle arthritis.
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