ArticleFoot & ankle orthopaedics2024
Impact of Joint Line Level in Total Ankle Arthroplasty: Standard Techniques vs Patient-Specific Instruments.
Article in Foot & ankle orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Arthroscopic Ankle Arthrodesis vs Open Ankle Arthrodesis: A Propensity-Matched, Retrospective Database Analysis of Medical Complications and 2-Year Nonunion Rates.Foot & ankle orthopaedics · 2025Article
- Accuracy of Patient-Specific Instrument Resections In Vivo in Total Ankle Arthroplasty on Postoperative Weightbearing CT Scan.Foot & ankle orthopaedics · 2025Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Total ankle arthroplasty (TAA) is an effective treatment for severe end-stage ankle osteoarthritis (AO). Despite satisfactory results, range of motion (ROM) is still suboptimal compared to healthy ankles. This issue may stem from different conditions, and the difficulty in accurately restoring the height of the joint line may be one of them. Recent studies in TAA have demonstrated that an elevated joint line is associated with reduced postoperative ROM and poorer functional scores. To improve the accuracy of bone resection and implant positioning, the use of patient-specific instruments (PSIs) has been proposed. The aim of this study is to compare joint line height, ROM, and functional clinical outcomes between standard TAA and TAA using PSI. Methods: A retrospective analysis was conducted on a consecutive cohort of patients who underwent standard TAA and TAA with PSI between January 2020 and December 2022. Radiographic assessments, including measurement of joint line height ratio (JLHR) and ROM, were performed. The clinical outcome was assessed using the Forgotten Joint Score. Result: Fifty-one patients underwent standard TAA, whereas 13 received TAA with PSI. The mean JLHR preoperatively was 1.51 ± 0.24 and postoperatively was 1.56 ± 0.23 in the standard TAA group ( Conclusion: This study suggests that PSI may improve the accuracy of reestablishing this implant's alignment closer to the native joint line. However, contrary to the study's initial hypothesis, PSI was not associated with any difference in ROM or clinical outcomes compared with standard TAA technique. Additional factors including the prosthetic implant design, presence of heterotopic calcifications, soft tissue contracture, surgical technique, post-TAA tibial slope, and preoperative ROM may have a greater impact than joint line level. Level of Evidence: Level III, retrospective cohort study.
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