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Journal of Bone and Joint Surgery - British Volume, Vol 67-B, Issue 5, 785-790
Copyright © 1985 by British Editorial Society of Bone and Joint Surgery


Articles

Total ankle arthroplasty. A long-term review of the London Hospital experience

BG Bolton-Maggs, RA Sudlow, and MA Freeman

We report a retrospective study of 62 total ankle arthroplasties performed between 1972 and 1981. Forty-one of these have been reviewed clinically after an average follow-up of five and a half years; only 13 can be described as satisfactory. The complications encountered in all 62 arthroplasties are detailed, the most significant being superficial wound healing problems, talar collapse, and loosening of the components; 13 prosthetic joints have already been removed and arthrodesis attempted. The management of the complications is discussed. In view of the high complication rate and the generally poor long-term clinical results, we recommend arthrodesis as the treatment of choice for the painful stiff arthritic ankle, regardless of the underlying pathological process.


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General