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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 3, 334-341.
doi: 10.1302/0301-620X.85B3.13849  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Total ankle replacement

THE RESULTS IN 200 ANKLES

P. L. R. Wood, FRCS, Consultant Orthopaedic Surgeon; and S. Deakin, FRCS Orth, Specialist Registrar

Wrightington Hospital for Joint Disease, Appley Bridge, Wigan WN6 9EP, UK.

Correspondence should be sent to Mr P. L. R. Wood.

Between 1993 and 2000 we implanted 200 cementless, mobile-bearing STAR total ankle replacements. None was lost to follow-up for reasons other than the death of a patient. The mean follow-up was for 46 months (24 to 101).

A complication requiring further surgery developed in eight ankles and 14 were revised or fused. The cumulative survival rate at five years was 92.7% (95% CI 86.6 to 98.8) with time to decision to revision or fusion as an endpoint.

The most frequent complications were delayed wound healing and fracture of a malleolus. These became less common with experience of the operation. The radiological appearance of the interface of the tibial implant was significantly related to its operative fit and to the type of bioactive coating.




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