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Related Concept Videos

Ankle Joint01:10

Ankle Joint

2.5K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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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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Total ankle replacement in young patients.

Elena Manuela Samaila1, Andrea Bissoli2, Emanuele Argentini2

  • 1Array. elenamanuela.samaila@univr.it.

Acta Bio-Medica : Atenei Parmensis
|June 20, 2020
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Summary

Total ankle replacement (TAR) is increasingly used in younger patients, challenging previous contraindications. Modern prosthetics offer better outcomes, with younger individuals showing higher satisfaction compared to ankle fusion.

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Arthroplasty research

Background:

  • Historically, high physical demand and younger age were contraindications for total ankle replacement (TAR).
  • Improvements in prosthetic design have led to expanding indications and increased TAR procedures.
  • Previous studies indicated higher failure rates and revision risks in younger patients (<50 or <60 years).

Purpose of the Study:

  • To evaluate the efficacy and outcomes of total ankle replacement in younger patient populations.
  • To compare the results of modern TAR with traditional beliefs and alternative treatments like ankle arthrodesis.

Main Methods:

  • Review of literature concerning total ankle replacement outcomes in different age groups.
  • Analysis of studies comparing second-generation versus third-generation prosthetic designs.
  • Examination of data from patient registries and comparative studies with ankle arthrodesis.

Main Results:

  • Recent evidence suggests improved clinical results and higher patient satisfaction with third-generation TAR in patients under 50.
  • Outcomes are comparable to ankle arthrodesis, with similar complication and survivorship rates.
  • Younger patients experience a higher reoperation rate but benefit from preventing adjacent joint degeneration.

Conclusions:

  • Total ankle replacement is a viable option for younger, active individuals, contrary to historical contraindications.
  • Modern prosthetic designs have significantly improved outcomes for younger patients undergoing TAR.
  • While reoperation rates are higher, the benefits of preserving adjacent joints outweigh risks for younger TAR recipients.