Evidence map›Paper›PMID 41007200›Full record

ReviewBioengineering (Basel, Switzerland)2025

Porous Structures, Surface Modifications, and Smart Technologies for Total Ankle Arthroplasty: A Narrative Review.

Joshua M Tennyson, Michael O Sohn, Arun K Movva, Kishen Mitra, Conor N O'Neill, Albert T Anastasio, Samuel B Adams

Abstract readReview
In one paragraph

Review in Bioengineering (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Joshua M TennysonFeinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-2494-1943
Michael O SohnFeinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0009-0008-4435-9898
Arun K MovvaFeinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0009-0003-1364-2918
Kishen MitraDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.ORCID 0000-0003-1115-4665
Conor N O'NeillDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.ORCID 0000-0003-4456-9445
Albert T AnastasioDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.ORCID 0000-0001-5817-3826
Samuel B AdamsDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.ORCID 0000-0003-1020-1167

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surface engineering and architectural design represent key frontiers in total ankle arthroplasty (TAA) implant development. This narrative review examines biointegration strategies, focusing on porous structures, surface modification techniques, and emerging smart technologies. Optimal porous architectures with 300-600 µm pore sizes facilitate bone ingrowth and osseointegration, while functionally graded structures address regional biomechanical demands. Surface modification encompasses bioactive treatments (such as calcium phosphate coatings), topographical modifications (including micro/nanotexturing), antimicrobial approaches (utilizing metallic ions or antibiotic incorporation), and wear-resistant technologies (such as diamond-like carbon coatings). Multifunctional approaches combine strategies to simultaneously address infection prevention, enhance osseointegration, and improve wear resistance. Emerging technologies include biodegradable scaffolds, biomimetic surface nanotechnology, and intelligent sensor-based monitoring systems. While many innovations remain in the research stage, they demonstrate the potential to establish TAA as a comprehensive alternative to arthrodesis. Successful implant design requires integrated surface engineering tailored to the ankle joint's demanding biomechanical and biological environment.

Indexed as

antimicrobial coatingsbiointegrationmedical device designnanotechnologyosseointegrationporous structuressmart implantssurface modificationtotal ankle arthroplastywear resistance

Identifiers

PMID41007200
PMCPMC12467531

What OpenQuestion holds

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Registered trials

None linked

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.