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Related Concept Videos

Ankle Joint01:10

Ankle Joint

1.7K
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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Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Aug 8, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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How long do ankle arthroplasties last?

Toby Jennison1,2, Obi Ukoumunne3, Sallie Lamb3

  • 1Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

The Bone & Joint Journal
|February 28, 2023
PubMed
Summary
This summary is machine-generated.

Ankle arthroplasty survival rates in the UK are lower than reported, with about a third of failures missed. Fixed-bearing implants show better survival than mobile-bearing ones.

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science
  • Clinical epidemiology

Background:

  • Ankle arthroplasty is increasingly performed, yet comprehensive survival data and implant comparisons are limited.
  • Accurate survival data is crucial for patient selection and implant choice in ankle replacement surgery.

Purpose of the Study:

  • To determine the failure rates of primary ankle arthroplasties commonly used in the UK.
  • To compare the survivorship of different ankle implant designs.

Main Methods:

  • A data linkage study combining National Joint Registry (NJR) and NHS Digital data.
  • Life tables and Kaplan-Meier survival analysis were used.
  • Cox proportional hazards regression models compared failure rates between implants.

Main Results:

  • Overall five-year survival for ankle arthroplasties was 90.2%, lower than NJR-only data suggests.
  • Fixed-bearing implants demonstrated higher five-year survival (94.3%) compared to mobile-bearing implants (89.4%).
  • Approximately one-third of ankle arthroplasty failures were not reported to the NJR, impacting recorded survival rates.

Conclusions:

  • Ankle arthroplasty survival rates in the UK are significantly impacted by underreporting of failures.
  • Fixed-bearing ankle implants appear to offer superior survivorship compared to mobile-bearing designs.
  • Further research and improved data collection are needed for accurate ankle arthroplasty outcome assessment.