ArticleInternational orthopaedics2018
Total ankle replacement leads to high revision rates in post-traumatic end-stage arthrosis.
Article in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 44 citations in OpenAlex.
- A pilot randomised control trial of the efficacy of stability-based training with visualisation for people with chronic ankle instability.Medical & biological engineering & computing · 2022Trial
- Joint-preserving corrective reconstruction strategy for malunions of tibial pilon fractures in young patients.International orthopaedics · 2026Article
- Scoping review for treatment of osteolysis in total ankle arthroplasty.BMC musculoskeletal disorders · 2025Article
- Protocol for a randomised feasibility trial comparing a combined program of education and exercise versus general advice for ankle osteoarthritis.Journal of foot and ankle research · 2023Article
- Establishing a New Patient-Specific Implantation Technique for Total Ankle Replacement: An In Vitro Study.Foot & ankle specialist · 2023Article
- Preservation of the Subtalar Joint Determines Outcomes in a 10-Year Evaluation of Ankle Arthrodesis.Journal of clinical medicine · 2023Article
- Intermediate to long-term clinical outcomes and survival analysis of the Salto Mobile Bearing total ankle prothesis.Archives of orthopaedic and trauma surgery · 2022Article
- Protocol for the development of a core domain set for individuals with ankle osteoarthritis.Trials · 2022Article
- A Novel Method for Preoperative Positioning of Total Ankle Replacement Using 3D Digital Model.Orthopaedic surgery · 2022Article
- Comparing the Results of Total Ankle Arthroplasty Vs Tibiotalar Fusion (Ankle Arthrodesis) in Patients with Ankle Osteoarthritis since 2006 to 2020- A Systematic Review.The archives of bone and joint surgery · 2022Review
- Effectiveness of Ilizarov Ankle Arthrodesis in the Treatment of End-Stage Varus Ankle Osteoarthritis: A Retrospective Study.Orthopaedic surgery · 2022Article
- Biomechanical evaluation of total ankle arthroplasty. Part I: Joint loads during simulated level walking.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Article
- Biomechanical evaluation of total ankle arthroplasty. Part II: Influence of loading and fixation design on tibial bone-implant interaction.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Article
- End-stage Ankle Arthritis Treated by Ankle Arthrodesis with Screw Fixation Through the Transfibular Approach: A Retrospective Analysis.Orthopaedic surgery · 2020Article
- Total ankle replacement: is pre-operative varus deformity a predictor of poor survival rate and clinical and radiological outcomes?International orthopaedics · 2019Observational
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionExtremely heterogeneous revision rates in total ankle arthroplasty (TAA) of the upper ankle joint are reported and result to heterogeneous collectives and to short follow-up times. The aim is to investigate revision rates and the underlying reasons, as well as treatment outcome and quality of life after TAA in post-traumatic cases with sufficient follow-up.
methodsIn 2008-2013, 74 patients with post-traumatic arthrosis were treated using TAA with a Tornier Salto prosthesis, and 60 (35 males and 25 females; mean age 56) were followed-up (mean: 59 months; range 24-91 months).
resultsThe revision rate after TAA was 42% (n = 25), and it was 8% after 12 months and 18% after 24 months. Twenty percent of the patients had significant symptomatic periprosthetic bone cysts, 5% had impingement, 3% had soft tissue infections, and, in 14%, revision was caused by other factors. The most commonly performed procedures were cyst debridement and autologous spongy bone grafting (20%). Fifteen percent (n = 9) of the prosthetics were explanted or switched to a tibiotalar arthrodesis (TTA). The mean AOFAS (American Orthopaedic Foot and Ankle Society) score was 55.15 (range 12-100) and the mean FAO (Foot and Ankle Outcome) score was 49.6 (range 18-100). The revision subgroup had impaired outcomes (AOFAS 38.84; FAO 35.5) while the non-revision subgroup had improved outcomes (AOFAS 66.8; FAO 60.48). TAA patients undergoing conversion to TTA had worse outcomes (AOFAS 39; FAO 35.29).
conclusionTotal ankle replacement in post-traumatic end-stage arthrosis patients is associated with high revision rates. High rates of symptomatic periprosthetic bone cysts caused high rates of revision surgery and worse outcomes, which were not improved by secondary TTA.
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