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Related Experiment Videos

Total ankle arthroplasty: four years' experience

R N Stauffer, N M Segal

    Clinical Orthopaedics and Related Research
    |October 1, 1981
    PubMed
    Summary

    Total ankle arthroplasty complications occurred in 41% of patients. This procedure is best for rheumatoid arthritis patients and those over 60 with posttraumatic osteoarthritis, while arthrodesis is recommended for younger patients.

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    Area of Science:

    • Orthopedic Surgery
    • Biomaterials Science

    Background:

    • Total ankle arthroplasty (TAA) is an option for end-stage ankle arthritis.
    • Complication rates and optimal patient selection require further investigation.

    Purpose of the Study:

    • To evaluate the complication rates of TAA.
    • To identify patient demographics and conditions associated with better TAA outcomes.

    Main Methods:

    • Retrospective review of 102 total ankle arthroplasties.
    • Analysis of complication types including impingement, loosening, and sepsis.
    • Stratification of outcomes based on diagnosis (rheumatoid arthritis, posttraumatic osteoarthritis) and age.

    Main Results:

    • Overall complication rate was 41%.
    • Specific complications included impingement (22%), loosening (6.9%), and deep sepsis (2.9%).
    • Optimal outcomes were observed in patients with rheumatoid arthritis and posttraumatic osteoarthritis aged over 60.

    Conclusions:

    • TAA is not recommended for patients under 60 with posttraumatic osteoarthritis; arthrodesis is preferred.
    • TAA is indicated for severe rheumatoid arthritis-related ankle disability and in elderly patients with limited physical demands due to posttraumatic degeneration.

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