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Ankle Joint

Ankle Joint

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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Updated: Nov 10, 2025

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

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

Published on: January 24, 2018

Total ankle arthroplasty.

Timothy M Clough¹, Joseph Ring¹

¹Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.

The Bone & Joint Journal

|April 1, 2021

Summary

This summary is machine-generated.

This study evaluated Zenith total ankle arthroplasties (TAAs), finding an 88.2% implant survival rate at seven years. Patient satisfaction and functional outcomes were high, supporting TAA as a viable treatment for ankle arthritis.

Keywords:

Ankle Arthroplasty Joint prosthesis Total joint replacement

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Area of Science:

Orthopedic Surgery
Biomaterials Science

Background:

Total ankle arthroplasty (TAA) is an alternative to ankle fusion for treating end-stage ankle arthritis.
Medium-term outcomes of specific TAA systems are crucial for guiding clinical practice.

Purpose of the Study:

To report the medium-term outcomes of 118 consecutive Zenith total ankle arthroplasties (TAAs).
To evaluate implant survival, functional outcomes, patient satisfaction, and complication rates.

Main Methods:

A consecutive series of 118 Zenith TAAs in 114 patients were analyzed.
Data collected included demographics, clinical outcomes, and patient-reported outcome measures (PROMs).
Kaplan-Meier survival analysis was used with revision as the endpoint.

Main Results:

Implant survival at seven years was 88.2%.
Significant improvements were observed in the Manchester-Oxford Foot and Ankle Questionnaire (MOXFQ) and visual analogue scale (VAS) scores.
Common complications included malleolar fracture, wound healing issues, and superficial infection; aseptic loosening was the most frequent reason for revision.

Conclusions:

Zenith TAA survival rates are comparable to other implants and national registry data.
High patient satisfaction and improved functional outcomes support TAA as a treatment option for ankle arthritis.
Potential complications necessitate careful patient selection and surgical technique.