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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 5, 605-609.
doi: 10.1302/0301-620X.90B5.19677  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Total ankle replacement

MEDIUM-TERM RESULTS IN 200 SCANDINAVIAN TOTAL ANKLE REPLACEMENTS

P. L. R. Wood, FRCS, Consultant Orthopaedic Surgeon1; H. Prem, FRCS (Tr & Orth), Consultant Orthopaedic Surgeon2; and C. Sutton, MSc, PhD, CStat, Senior Lecturer3

1 Department of Orthopaedic Surgery, Wrightington Wigan and Leigh, NHS Trust, Hall Lane, Wigan, WN6 9EP, UK.
2 Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham B31 2AP, UK.
3 Faculty of Health, University of Central Lancashire, Corporation Street, Preston, PR1 2HE, UK.

Correspondence should be sent to Mr P. L. R. Wood; e-mail: peter.wood{at}wwl.nhs.uk

We describe the medium-term results of a prospective study of 200 total ankle replacements at a single-centre using the Scandinavian Total Ankle Replacement. A total of 24 ankles (12%) have been revised, 20 by fusion and four by further replacement and 27 patients (33 ankles) have died. All the surviving patients were seen at a minimum of five years after operation. The five-year survival was 93.3% (95% confidence interval (CI) 89.8 to 96.8) and the ten-year survival 80.3% (95% CI 71.0 to 89.6).

Anterior subluxation of the talus, often seen on the lateral radiograph in osteoarthritic ankles, was corrected and, in most instances, the anatomical alignment was restored by total ankle replacement. The orientation of the tibial component, as seen on the lateral radiograph, also affects the position of the talus and if not correct can hold the talus in an abnormal anterior position. Subtalar arthritis may continue to progress after total ankle replacement. Our results are similar to those published previously.




eLetters:

Read all eLetters

Clarification of medium-term results in 200 Scandinavian total ankle replacements
Andrew D Carrothers, et al.
J Bone Joint Surg Br Online, 6 Jun 2008 [Full text]
STAR total ankle replacement
A. Vannineuse
J Bone Joint Surg Br Online, 10 Jun 2008 [Full text]
Correction to 'Total ankle replacement' paper
Peter LR Wood
J Bone Joint Surg Br Online, 11 Jun 2008 [Full text]
Total ankle replacement comparison between osteoarthritis and inflammatory arthritis
Inder P S Gill
J Bone Joint Surg Br Online, 17 Sep 2008 [Full text]

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