Specialty Day 2020 - Paper Presentations-5 Year Follow Up Evaluation of a Third Generation Fixed Bearing Total Ankle Arthroplasty with an Intramedullary Tibial Component and a Central Sulcus Talus

5 Year Follow Up Evaluation of a Third Generation Fixed Bearing Total Ankle Arthroplasty with an Intramedullary Tibial Component and a Central Sulcus Talus

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Video Transcription

Video Summary

The video presents a five-year follow-up evaluation of third-generation fixed-bearing total ankle arthroplasty. The study compares ankle fusion, considered the gold standard treatment for end-stage ankle arthritis, with total ankle replacement. The analysis shows that ankle fusion leads to progression of hindfoot arthritis and adjacent joint arthritis, impacting activity and disability. However, total ankle replacement is becoming more favorable with improved implant design and surgeon experience. The study examines a specific implant used in the procedure and reviews the outcomes of 75 patients who underwent total ankle arthroplasty. The primary outcome is implant survival, with 92% estimated five-year survival rate. Secondary outcomes include radiographic alignment and failure modes. The study concludes that total ankle arthroplasty is an acceptable treatment option for end-stage ankle arthritis.

Asset Subtitle

Evan M. Loewy, MD; Robert B. Anderson, MD; Bruce E. Cohen, MD; Carroll P. Jones, MD; W. Hodges Davis, MD

Keywords

five-year follow-up evaluation

third-generation fixed-bearing total ankle arthroplasty

ankle fusion

total ankle replacement

implant survival