Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Sep;37(9):1789-94.
doi: 10.1007/s00264-013-1971-9. Epub 2013 Jul 12.

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Stephanie Noelle  1 , Claus C Egidy, Michael B Cross, Matthias Gebauer, Wolfgang Klauser
Affiliations

Complication rates after total ankle arthroplasty in one hundred consecutive prostheses

Stephanie Noelle et al. Int Orthop. 2013 Sep.

Abstract

Introduction: Total ankle arthroplasty is increasingly used as an alternative to arthrodesis to treat advanced ankle arthritis. However, the outcomes and postoperative complications are poorly described.

Patients and methods: Between March 2005 and May 2010 114 S.T.A.R. prostheses were implanted by one surgeon at our institution. We retrospectively analysed the demographics, clinical outcomes and radiographic characteristics of 100 ankle prostheses (97 patients).

Results: The average follow up was 36 months. The average preoperative AOFAS score of 36.87 (22-58) significantly increased to 75.99 postoperative. A total of 87 % of the patients reported a better life quality. Twenty-seven ankles incurred complications after primary surgery, and 21 prostheses required revision surgery, including four patients who required arthrodesis.

Conclusion: Our study shows a high satisfaction rate after total ankle replacement and clear pain relief. Patients with a body mass Index higher than 30 showed a higher rate of complications. Compared with ankle fusion, the rates of complications are comparable.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Survivorship data of the prostheses
Fig. 2
Fig. 2
Pre-operative conditions in one patient of the study population with severe arthritis of the upper ankle joint in AP (a) and lateral (b) views
Fig. 3
Fig. 3
The same patient as in Fig. 2 at the two-year follow-up visit in our clinic with no signs of aseptic loosening, subluxation or implant failure in AP (a) and lateral (b) views
See this image and copyright information in PMC

References

    1. Anderson T, Montgomery F, Carlsson A. Uncemented STAR total ankle prostheses. Three to eight-year follow-up of fifty-one consecutive ankles. J Bone Joint Surg Am. 2003;85-A(7):1321–1329. - PubMed
    1. Karantana A, Hobson S, Dhar S. The Scandinavian total ankle replacement: survivorship at 5 and 8 years comparable to other series. Clin Orthop Relat Res. 2010;468(4):951–957. doi: 10.1007/s11999-009-0971-y. - DOI - PMC - PubMed
    1. Wood PL, Clough TM, Smith R. The present state of ankle arthroplasty. Foot Ankle Surg. 2008;14(3):115–119. doi: 10.1016/j.fas.2008.05.008. - DOI - PubMed
    1. Schuh R, Hofstaetter J, Krismer M, Bevoni R, Windhager R, Trnka HJ. Total ankle arthroplasty versus ankle arthrodesis. Comparison of sports, recreational activities and functional outcome. Int Orthop. 2012;36(6):1207–1214. doi: 10.1007/s00264-011-1455-8. - DOI - PMC - PubMed
    1. Kwon DG, Chung CY, Park MS, Sung KH, Kim TW, Lee KM. Arthroplasty versus arthrodesis for end-stage ankle arthritis: decision analysis using Markov model. Int Orthop. 2011;35(11):1647–1653. doi: 10.1007/s00264-011-1336-1. - DOI - PMC - PubMed

LinkOut - more resources