ReviewJournal of orthopaedic surgery and research2017
Total ankle arthroplasty versus ankle arthrodesis-a comparison of outcomes over the last decade.
Review in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
74 citing papers in PubMed, 3 syntheses or guidelines pooled it, 238 citations in OpenAlex.
- International Publication Trends of Studies Comparing Total Ankle Arthroplasty and Ankle Arthrodesis: A Systematic Literature Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Pooled it
- A comparative study of modern total ankle replacement and ankle arthrodesis for ankle osteoarthritis at different follow-up times: a systematic review and meta-analysis.International orthopaedics · 2023Pooled it
- End-stage ankle osteoarthritis: arthroplasty offers better quality of life than arthrodesis with similar complication and re-operation rates-an updated meta-analysis of comparative studies.International orthopaedics · 2021Pooled it
- Implant size distribution and mid-term outcomes of transfibular total ankle arthroplasty in a Japanese cohort.Bone & joint open · 2026Article
- Postoperative Gait Characteristics After Arthroscopic Ankle Arthrodesis Using a Deep Learning-Based Markerless Motion Capture System: A Pilot Observational Study.Journal of clinical medicine · 2026Article
- Indications, Causes, and Patient Risk Factors for Revision After Total Ankle Arthroplasty: A Descriptive Cross-Registry Analysis of the NJR, AOANJRR, and SwedAnkle Registries.Clinics and practice · 2026Article
- Advancing Prevention and Treatment of Ankle Osteoarthritis: A Translational Clinical Roadmap from the 2026 AOFAS/Arthritis Foundation Ankle Arthritis Think Tank.Foot & ankle orthopaedics · 2026Review
- Ankle Arthrodesis Associated With Risk of Progression to Subtalar Arthrodesis Compared to Total Ankle Arthroplasty.Foot & ankle orthopaedics · 2026Article
- Ankle arthrodesis with arthroscopic fibular osteotomy for varus ankle arthritis.Joint diseases and related surgery · 2026Article
- Body Mass Index, Sex, and Age Are Predictors of Discharge to a Post-acute Care Facility Following Total Ankle Arthroplasty.Foot & ankle specialist · 2026Article
- A Comparison of Radiographic Alignment Using Patient-Specific and Standard Instrumentation in Total Ankle Arthroplasty.Foot & ankle orthopaedics · 2026Article
- Association of Preoperative Anterior Ankle Soft Tissue Thickness and Infection After Primary Total Ankle Arthroplasty: A Retrospective Cohort Study.Foot & ankle orthopaedics · 2026Article
- Long-term Consequences of Total Ankle Replacement vs Ankle Fusion in England: A 25-Year National Population Study of 41 000 patients.Foot & ankle international · 2026Article
- Salvage Procedure for a Failed Tibiotalar Arthrodesis: A Trans-Achilles Approach for Ankle Fusion Using a Posterior Plate-Case Reports and Literature Review.Case reports in orthopedics · 2026Article
- Ankle morphometry based on CT in Chinese population.BMC musculoskeletal disorders · 2025Article
- Osteolysis After HINTEGRA Total Ankle Replacement: Radiographic Patterns, Alignment Associations, and Long-Term Outcomes.Foot & ankle orthopaedics · 2025Article
- Total ankle arthroplasty versus ankle arthrodesis in end-stage osteoarthritis: A meta-analysis of comparative outcomes.Journal of orthopaedics · 2025Review
- Comparing Early Outcomes and Complications Between Total Ankle Arthroplasty and Ankle Arthrodesis in Patients with Ankle Osteoarthritis: Big Data Analysis.Journal of clinical medicine · 2025Article
- Study of Surgical Costs Associated With Tibiotalar Fusion.Foot & ankle orthopaedics · 2025Article
- Is the treatment of ankle osteoarthritis changing over time in Italy? Analysis of temporal trends for fusion and arthroplasty in a population-based study from 2001 to 2022 on the National Hospital Discharge Record database.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe surgical treatment of end-stage tibiotalar arthritis continues to be a controversial topic. Advances in surgical technique and implant design have lead to improved outcomes after both ankle arthrodesis (AA) and total ankle arthroplasty (TAA), yet a clear consensus regarding the most ideal form of treatment is lacking. In this study, the outcomes and complications following AA and TAA are compared in order to improve our understanding and decision-making for care and treatment of symptomatic tibiotalar arthritis.
methodsStudies reporting on outcomes and complications following TAA or AA were obtained for review from the PubMed database between January 2006 and July 2016. Results from studies reporting on a minimum of 200 total ankle arthroplasties or a minimum of 80 ankle arthrodesis procedures were reviewed and pooled for analysis. All studies directly comparing outcomes and complications between TAA and AA were also included for review. Only studies including modern third-generation TAA implants approved for use in the USA (HINTEGRA, STAR, Salto, INBONE) were included.
resultsA total of six studies reporting on outcomes following TAA and five reporting on outcomes following AA met inclusion criteria and were included for pooled data analysis. The adjusted overall complication rate was higher for AA (26.9%) compared to TAA (19.7%), with similar findings in the non-revision reoperation rate (12.9% for AA compared to 9.5% for TAA). The adjusted revision reoperation rate for TAA (7.9%) was higher than AA (5.4%). Analysis of results from ten studies directly comparing TAA to AA suggests a more symmetric gait and less impairment on uneven surfaces after TAA.
conclusionsPooled data analysis demonstrated a higher overall complication rate after AA, but a higher reoperation rate for revision after TAA. Based on the existing literature, the decision to proceed with TAA or AA for end-stage ankle arthritis should be made on an individual patient basis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.