Evidence map›Paper›PMID 41601846›Full record

ArticleFoot & ankle orthopaedics2026

Association of Preoperative Coronal Plane Deformity With Postoperative Tibial Bone-Prosthesis Interface Lucency in the Cadence Total Ankle.

Max Coale, Patrick Maloney, Jessa Fogel, Clifford Jeng

Abstract read
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Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Max CoaleMercy Medical Center, Institute for Foot and Ankle Reconstruction, USA.ORCID https://orcid.org/0000-0003-4746-1931
Patrick MaloneyMercy Medical Center, Institute for Foot and Ankle Reconstruction, USA.
Jessa FogelUniversity of Maryland Medical Center, Department of Orthopaedic Surgery, USA.
Clifford JengMercy Medical Center, Institute for Foot and Ankle Reconstruction, USA.ORCID https://orcid.org/0000-0002-3751-8757

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Minimal resection total ankle arthroplasty (TAA) has been linked to an increased incidence of tibial component lucency in large preoperative coronal plane deformity. Lucency has been linked to implant loosening. Because radiographic lucency may reflect implant micromotion, lack of bony ingrowth and/or early component loosening, we analyzed a series of TAA cases with varying degrees of preoperative coronal deformity. Our primary aim was to determine if larger preoperative tibiotalar angles were associated with increased postoperative tibial component lucency in the Cadence TAA system. Methods: A retrospective review of a single surgeon's TAA procedures using the Cadence prosthesis was conducted. Patients aged ≥18 years who underwent Cadence TAA from January 1, 2018, to December 31, 2023, were included; those with <12 months' follow-up or poor-quality radiographs were excluded. Lucency was defined as a radiolucent line at the interface between the tibia and the tibial component that was greater than 0.5 mm at any point. The patient's final follow-up radiograph was used for this analysis. Pre- and postoperative tibiotalar alignment was recorded. Results: Fifty-five ankles were examined. The average follow-up duration was 29.8 months. Sixteen patients (29%) had no deformity. Twenty-seven patients (49%) had less than 15 degrees of angulation and 12 patients (22%) had more than 15 degrees of angulation. Postoperatively, all ankles were corrected to within 3.7 degrees of a coronal tibiotalar angle of 90 degrees. Comparisons among the 3 groups with χ Conclusion: Aseptic loosening in TAAs, indicated by peri-implant lucency, is a recognized mode of failure. Recent studies suggest that preoperative coronal tibiotalar angles greater than 15 degrees increase the risk of failure when using minimal resection TAA. In this short-term, single-surgeon cohort, there were no differences in peri-implant lucency between groups. Findings should be interpreted cautiously, given the limited follow-up and statistical power. Level of Evidence: Level IV, retrospective analysis.

Indexed as

ankle arthritisaseptic looseningperi-implant lucencytotal ankle arthroplastytotal ankle failure

Identifiers

PMID41601846
PMCPMC12833150

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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.