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Updated: Jul 4, 2025
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
11.8K
Complications in Total Ankle Replacement
1Maastricht University Medical Center +, Research School CAPHRI, Department Orthopaedic Surgery, P. Debyelaan 25, Maastricht 6229 HX, the Netherlands.
Foot and Ankle Clinics
|February 3, 2024
Summary
Ankle fusion (arthrodesis) effectively reduces ankle arthritis pain but sacrifices joint motion, potentially accelerating degeneration in adjacent joints like the subtalar joint.
Area of Science:
- Orthopedic Surgery
- Podiatry
- Musculoskeletal Research
Background:
- End-stage ankle arthritis presents a significant clinical challenge.
- Traditional treatments include ankle arthrodesis (fusion) and total ankle replacement.
- Ankle arthrodesis offers pain relief but results in loss of motion.
Purpose of the Study:
- To compare the long-term outcomes of ankle arthrodesis versus total ankle replacement.
- To evaluate the impact of ankle fusion on adjacent joint degeneration.
- To inform clinical decision-making for end-stage ankle arthritis management.
Main Methods:
- Review of existing literature on ankle arthrodesis and total ankle replacement.
- Analysis of patient data comparing functional outcomes and adjacent joint health.
- Biomechanical studies assessing load transfer after ankle fusion.
Main Results:
- Ankle arthrodesis effectively alleviates pain in the ankle joint.
- Fusion leads to a complete loss of ankle motion.
- Increased load on the subtalar joint post-arthrodesis can accelerate its degeneration.
Conclusions:
- Ankle arthrodesis provides pain relief but at the cost of joint mobility.
- The potential for accelerated arthritis in adjacent joints is a significant consideration.
- Further research is needed to optimize treatment strategies for end-stage ankle arthritis.
