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. 2013 Dec;6(4):279-84.
doi: 10.1007/s12178-013-9179-6.

Total ankle arthroplasty in end-stage ankle arthritis

Constantine A Demetracopoulos  1 , James P Halloran, Paul Maloof, Samuel B Adams Jr, Selene G Parekh
Affiliations

Total ankle arthroplasty in end-stage ankle arthritis

Constantine A Demetracopoulos et al. Curr Rev Musculoskelet Med. 2013 Dec.

Abstract

Recent advancements in ankle prosthesis design, combined with improved surgical techniques for correction of coronal plane deformity and ligamentous balancing, have led to a resurgence of interest in total ankle arthroplasty for the treatment of end-stage ankle arthritis. Although ankle arthrodesis has long been considered the gold standard treatment for ankle arthritis, recent studies have shown that patients who undergo total ankle replacement have equivalent pain relief and improved function, when compared with patients with an ankle fusion. The purpose of this review is to summarize the indications, advantages, disadvantages, and clinical outcomes of some of the more commonly used modern prostheses for total ankle arthroplasty.

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Figures

Fig. 1
Fig. 1
Preoperative (a) and postoperative (b) anteroposterior radiographs of the ankle, demonstrating a patient with end-stage ankle arthritis with valgus deformity who underwent total ankle arthroplasty with the INBONE prosthesis
Fig. 2
Fig. 2
Preoperative (a) and postoperative (b) mortise radiographs of the ankle showing a patient with end-stage varus ankle arthritis who underwent total ankle arthroplasty with the Salto Talaris implant
Fig. 3
Fig. 3
Preoperative (a) and postoperative (b) mortise radiograph of the ankle of a patient with rheumatoid arthritis with minimal coronal deformity who underwent a S.T.A.R. total ankle replacement
Fig. 4
Fig. 4
Postoperative anteroposterior (a) and lateral (b) radiograph of a total ankle arthroplasty using the Zimmer Trabecular Metal Total Ankle
See this image and copyright information in PMC

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