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Updated: Sep 11, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
No difference in outcomes between golfers and non-golfers undergoing total ankle replacements
Jun Min Leow1, Nicholas Clement2, Andrew Murray3
1Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK.
Background:
The outcomes of total ankle replacements (TAR) in golfers are not known. The primary aim was to assess whether golfers experience similar improvements using the Manchester-Oxford Foot Questionnaire (MOXFQ) compared to the wider population. Secondary aims were to assess difference in demographics, health-related quality of life, and return to golf.
Methods:
This was a retrospective review of prospectively collected data. Nineteen golfers and 144 non-golfers were included. Outcomes measured were MOXFQ, EQ5D3L and patient satisfaction.
Results:
Golfers had significantly better MOXFQ scores preoperatively (p = 0.02) and postoperatively (p = 0.03), but there was no significant difference in mean change. Postoperative EQ5D3L scores were similar between groups. 52 % returned to golf within 6 months and 79 % within one year, similar to hip, knee and shoulder arthroplasty.
Conclusion:
Golfers experience comparable improvements following TAR, with high rates of return to play. These findings may be used to counsel patients and manage expectations preoperatively.
Level Of Evidence:
II.
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