ReviewActa bio-medica : Atenei Parmensis2020
Total ankle replacement in young patients.
Review in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Outcomes and associated factors of revision procedures after failed total ankle arthroplasty: a comparative cohort analysis.Archives of orthopaedic and trauma surgery · 2026Article
- Five decades of total ankle replacement: from early failures to fourth-generation innovations and future priorities.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Review
- 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
- The INVISION Talar Component in Revision Total Ankle Arthroplasty: Analysis of Early Outcomes.Diagnostics (Basel, Switzerland) · 2024Article
- Ankle and subtalar joint axes of rotation and center of rotation during walking and running in healthy individuals measured using dynamic biplane radiography.Journal of biomechanics · 2023Article
- A Novel Orthoplastic Reconstruction of Relapsed Clubfoot With Total Ankle Arthroplasty.Cureus · 2023Article
- "I could have a proper ankle" - a qualitative study of patients' perceptions of total ankle replacement and ankle fusion surgery.Journal of foot and ankle research · 2022Article
- A Novel Method for Preoperative Positioning of Total Ankle Replacement Using 3D Digital Model.Orthopaedic surgery · 2022Article
- High Reoperation Rate in Mobile-Bearing Total Ankle Arthroplasty in Young Patients.Medicina (Kaunas, Lithuania) · 2022Article
- May footwear be a predisposing factor for the development of hallux rigidus? A review of recent findings.Acta bio-medica : Atenei Parmensis · 2021Review
- Two-Year Revision Rates in Total Ankle Replacement Versus Ankle Arthrodesis: A Population-Based Propensity-Score-Matched Comparison from New York State and California.JB & JS open accessArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
High physical demand and younger age are currently considered contraindications for total ankle replacement. The number of Total Ankle Replacements (TAR) is widespread increasing and indications are expanding thanks to a steady improvement in prosthetic designs and better outcome. Commentary of the literature: in 1999 a study of 100 uncemented STAR™ (Waldemar-Link, Hamburg, Germany) prostheses showed a survival rate of 75% at 6.8 years in patients under 50 years old. Other studies (es, Barg et Al.) shows the risk of failure age-related in young patients compared to older group. A report of 780 TAR from the Swedish Ankle Register showed patients with primary or post-traumatic osteoarthritis under 60 years of age to have a 1.8 higher chance of revision compared to older patients. Discussion: ankle replacement has been traditionally reserved for patients older 50 years old and with low physical demand. Contrariwise this belief, TAR have already been used with a wide range of ages, sometimes even patients younger than 30 years old. Most of the "negative" score and results showed before are related to "second-generation" prosthetic designs, while recent studies used a "third-generation" prosthetic design. Conclusions: recent evidences showed better clinical results and higher satisfaction in people under the age of 50 compared to ankle arthrodesis with comparable rate of complications and survivorship. Younger people will have however a higher rate of reoperation but in the meantime, they will prevent progressive degeneration of adjacent joints.
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