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1

Sokolowski, Marc, Lukas Zwicky, Christine Schweizer, and Beat Hintermann. "Subtalar Joint Arthritis After Total Ankle Replacement." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0011. http://dx.doi.org/10.1177/2473011418s00114.

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Category: Ankle Arthritis Introduction/Purpose: It has been shown that total ankle replacement (TAR) is effective in reducing pain and maintaining function in posttraumatic ankle osteoarthritis (OA). Compared to ankle fusion, TAR restores hindfoot kinematics more physiological. However, the assumption that the maintenance of ankle motion has a protective effect on the subtalar joint is still a matter of debate. Only a scarce number of long-term studies exist to support this statement.The purpose of this study was (1) to evaluate to which extent the integrity of the subtalar joint can be preser
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Sokolowski, Marc, Nicola Krähenbühl, Chen Wang, et al. "Secondary Subtalar Joint Osteoarthritis Following Total Ankle Replacement." Foot & Ankle International 40, no. 10 (2019): 1122–28. http://dx.doi.org/10.1177/1071100719859216.

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Background:An advantage of total ankle replacement (TAR) compared to ankle fusion is that by maintaining motion, the occurrence of hypermobility of adjacent joints may be prevented. This could affect the development of symptomatic subtalar joint osteoarthritis (OA). The aim of the study was to determine the incidence of subtalar joint fusion and the progression of subtalar joint OA following TAR.Methods:Secondary subtalar joint fusion rate was determined from a cohort of 941 patients receiving primary TAR between 2000 and 2016. The indication for fusion, the time interval from primary TAR to f
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Manzi, Luigi, Cristian Indino, Camilla Maccario, Claudia Di Silvestri, Riccardo D’Ambrosi, and Federico Giuseppe Usuelli. "Total ankle replacement and simultaneous subtalar arthrodesis." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0002. http://dx.doi.org/10.1177/2473011417s000279.

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Category: Ankle, Ankle Arthritis, Hindfoot, Midfoot/Forefoot Introduction/Purpose: Patients with arthritis or severe dysfunction involving both the ankle and the subtalar joints can benefit tibiotalocalcaneal (TTC) arthrodesis or total ankle replacement and subtalar fusion. With the evolution of prosthetic design and surgical techniques, total ankle replacement (TAR) has become a reasonable alternative to arthrodesis. The aim of this study was to investigate the fusion rate of the subtalar joint and talonavicular joint in patients simultaneously treated with total ankle replacement (TAR) and s
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Ruiz, Roxa, Lukas Zwicky, and Beat Hintermann. "Syndesmotic Instability After Total Ankle Replacement." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0010. http://dx.doi.org/10.1177/2473011418s00103.

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Category: Ankle Arthritis Introduction/Purpose: Total ankle replacement (TAR) evolved over the last decades and has been shown to be an effective concept in the treatment of ankle osteoarthritis (OA). In three-component designs, the second interface between polyethylene insert (PI) and tibial component allows the PI to find its position according the individual physiological properties. This was believed to decrease shear forces within the ankle joint. However, it is not clarified to which extent such an additional degree of freedom may overload the ligamentous structures of the ankle joint ov
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Kakkar, Rahul, and M. S. Siddique. "Stresses in the ankle joint and total ankle replacement design." Foot and Ankle Surgery 17, no. 2 (2011): 58–63. http://dx.doi.org/10.1016/j.fas.2011.02.002.

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6

Jensen, N. C., and I. Hvid. "Load Bearing Capacity in Total Ankle Joint Replacement." Engineering in Medicine 15, no. 3 (1986): 149–51. http://dx.doi.org/10.1243/emed_jour_1986_015_038_02.

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The influence of some simple design variations on the compressive load bearing capacity of tibial and talar prosthetic components in total ankle joint replacement were investigated in an attempt to suggest improvements to current prosthetic designs. Eighteen paired ankle joint preparations were fitted with three types of tibial components and two types of talar components. The tibial component with an intramedullary peg tolerated significantly higher loads before mechanical failure than the two other designs that were equal in load bearing capacity. The mean value of ultimate force was 40 per
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Jensen, Niels Chr, and Karsten Krøner. "TOTAL ANKLE JOINT REPLACEMENT: A CLINICAL FOLLOW UP." Orthopedics 15, no. 2 (1992): 236–39. http://dx.doi.org/10.3928/0147-7447-19920201-21.

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8

Weber, Stephen, and James Ficke. "Cementless Total Ankle Replacement." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0051. http://dx.doi.org/10.1177/2473011418s00512.

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Category: Ankle Arthritis Introduction/Purpose: Total ankle replacement (TAR) was initially performed with first-generation cemented components. These constructs showed unacceptable revision and complication rates, in part due to the difficulty of obtaining a uniform cement mantle and the unique difficulties with TAR regarding the inability to dislocate the joint for exposure. Early concerns with polymethylmethacrylate (PMMA) in knees led to multiple studies evaluating fixation of total knee components by bone ingrowth using prospective randomized studies, registry data, and radiostereographic
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Manzi, Luigi, Cristian Indino, Christopher Gross, Riccardo D’Ambrosi, and Federico Giuseppe Usuelli. "Hindfoot alignment in total ankle replacement at 2 year follow-uo." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0033. http://dx.doi.org/10.1177/2473011418s00333.

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Category: Ankle Arthritis Introduction/Purpose: End-stage ankle osteoarthritis frequently involves multiplanar malalignment both tibio-talar and subtalar joint. Restoration of the correct position of the tibial and the talar component and of the hindfoot is mandatory for the long-term survival of total ankle replacement. Since patients with ankle osteoarthritis often present concomitant hindfoot deformity, radiographic references are needed to describe deformities. However, the possible compensatory mechanisms of these linked joints are not well known.The aim of this study is to show if there
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10

Gross, Christopher E., Federico Guiseppe Usuelli, and Christian Indino. "Hindfoot Alignment after Total Ankle Replacement." Foot & Ankle Orthopaedics 5, no. 2 (2020): 2473011420S0000. http://dx.doi.org/10.1177/2473011420s00007.

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Category: Ankle Arthritis; Ankle Introduction/Purpose: End-stage ankle arthritis can involve misalignment of the ankle in both the coronal and sagittal planes as up to reported 33% to 44% of patients who present for total ankle replacement have greater than 10° of coronal plane deformity. Improvements in both the design and surgical technique for total ankle replacements (TAR) have allowed surgeons to tackle the most challenging of multiplanar ankle deformities. Normalization of the sagittal and coronal alignment is key in improving survivorship and functional outcomes in TAR. In the present s
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Gross, Christopher, Luigi Manzi, Cristian Indino, Fausto Romano, Camilla Maccario, and Federico Giuseppe Usuelli. "Hindfoot Alignment after Total Ankle Replacement." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0018. http://dx.doi.org/10.1177/2473011419s00189.

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Category: Ankle, Ankle Arthritis Introduction/Purpose: End-stage ankle arthritis can involve misalignment of the ankle in both the coronal and sagittal planes as up to reported 33% to 44% of patients who present for total ankle replacement have greater than 10° of coronal plane deformity. Normalization of the sagittal and coronal alignment is key in improving survivorship and functional outcomes in TAR. In the present study, we analyzed how both the ankle and hindfoot alignment for both a fixed-bearing and mobile bearing TAR system changes over time. Specifically, we measured coronal and sagit
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Tan, Jin Aun, Mohd Yazid Bajuri, Juzaily Fekry Leong, Levin Kb, and Azammuddin Alias. "TOTAL ANKLE REPLACEMENT FOR TREATMENT OF AVASCULAR NECROSIS OF THE TALUS." Asian Journal of Pharmaceutical and Clinical Research 11, no. 8 (2018): 1. http://dx.doi.org/10.22159/ajpcr.2018.v11i8.25602.

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Avascular necrosis (AVN) of talus is a well-known complication following talar neck fracture that leads to osteoarthritis of the ankle joint. Tibiotalar fusion is the gold standard of treatment in end-stage ankle osteoarthritis with predictable good outcome. With the introduction of newer generation of total ankle replacement (TAR), it is gaining popularity as an alternative treatment in selected cases of ankle joint osteoarthritis secondary to AVN talus. We present here a case of ankle joint osteoarthritis secondary to AVN talus in a 30-year-old female in which a TAR was performed. We wish to
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13

Wang, Henry, and Scott R. Brown. "The effects of total ankle replacement on ankle joint mechanics during walking." Journal of Sport and Health Science 6, no. 3 (2017): 340–45. http://dx.doi.org/10.1016/j.jshs.2016.01.012.

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Michael, Junitha M., Ashkahn Golshani, Shawn Gargac, and Tarun Goswami. "Biomechanics of the ankle joint and clinical outcomes of total ankle replacement." Journal of the Mechanical Behavior of Biomedical Materials 1, no. 4 (2008): 276–94. http://dx.doi.org/10.1016/j.jmbbm.2008.01.005.

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15

Harnroongroj, Thos, Daniel Sturnick, Scott J. Ellis, Constantine Demetracopoulos, and Jonathan Deland. "The Ankle-Hindfoot Kinematics of Current Generation Total Ankle Replacement: A Cadaveric Gait Simulation." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0020. http://dx.doi.org/10.1177/2473011419s00203.

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Category: Ankle Arthritis Introduction/Purpose: Total ankle replacement (TAR) has developed as a standard treatment option for end-stage ankle arthritis with the primary benefit of pain relief and ankle-hindfoot motion preservation. The current generation of TARs features limited bone resection and improved initial fixation of components to restore physiologic constraint and the anatomic articulation of the ankle. However, the ankle-hindfoot kinematics of current TAR designs compared to the baseline native ankle have not yet been extensively studied. Cadaveric gait simulation is a valuable too
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16

Putra, A. M. S., Muhamad Noor Harun, and Syahrom Ardiyansyah. "Study of Wear Prediction on Total Ankle Replacement." Advanced Materials Research 845 (December 2013): 311–15. http://dx.doi.org/10.4028/www.scientific.net/amr.845.311.

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Pre-clinical experimental wear testing is very effective to evaluate new ankle replacement in the aspect of design and material used. However, both cost and time can be one of the constraints factors, particularly in the early stage of design or analysis. Numerical method has been addressed as an alternative to predict wear on ankle replacement. The computational wear simulation has been widely used on the hip and knee but very less found in study related to wear analysis of the ankle. The purpose of this research is to develop computational simulation to predict wear on total ankle replacemen
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Conklin, Mark Jay, Kathryn Elizabeth Smith, Jeremy Webster Blair, and Kenneth Michael Dupont. "Total Ankle Replacement Conversion to Tibiotalocalcaneal Arthrodesis With Bulk Femoral Head Allograft and Pseudoelastic Intramedullary Nail Providing Sustained Joint Compression." Foot & Ankle Orthopaedics 3, no. 4 (2018): 247301141880448. http://dx.doi.org/10.1177/2473011418804487.

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Tibiotalocalcaneal (TTC) arthrodesis is commonly performed to salvage a failed total ankle replacement. These salvage procedures are complicated by significant bone loss from the ankle replacement and are associated with low patient satisfaction. Here, we describe 2 cases of patients who presented with a failed total ankle replacement and underwent arthrodesis using a bulk femoral head allograft and a novel pseudoelastic intramedullary nail. The intramedullary nail contains an internal pseudoelastic element that adapts to bone resorption and settling allowing for compression to be maintained a
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18

Smyth, Niall A., John G. Kennedy, Lew C. Schon, Javad Parvizi, and Amiethab A. Aiyer. "Risk Factors for Periprosthetic Joint Infection Following Total Ankle Replacement." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0040. http://dx.doi.org/10.1177/2473011419s00400.

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Category: Ankle, Ankle Arthritis Introduction/Purpose: A major complication of total ankle replacement (TAR) is a periprosthetic joint infection (PJI). The reported rate of this complication ranges between 2.4 – 8.9%. Identifying preoperative patient characteristics that correlate with an increased risk of PJI is of great interest to orthopaedic surgeons, as this may assist with appropriate patient selection. The purpose of this study is to systematically review the literature to identify risk factors that are associated with PJI following TAR. Methods: Utilizing the terms “(risk factor OR ris
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19

Richter, Martinus, and Stefan Zech. "Comparison Total Joint Replacement (STAR) with Arthrodesis of the Ankle." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0040. http://dx.doi.org/10.1177/2473011418s00403.

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Category: Ankle Arthritis Introduction/Purpose: Total joint replacement (TJR) and arthrodesis (A) are treatment options for severe osteoarthritis of the ankle. The aim of this study was to compare outcome (clinical and pedographic) of JTR (STAR, Stryker, Airview Boulevard, MN, USA) and A of the ankle. Methods: All patients that completed follow-up of at least 24 months after TJR and A of the ankle before November 5, 2017 were included in the study. The data was extracted from a prospectively acquired database starting November 1, 2011 including all operatively treated patient at the authors´ i
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Smyth, Niall A., John G. Kennedy, Javad Parvizi, Lew C. Schon, and Amiethab A. Aiyer. "Risk factors for periprosthetic joint infection following total ankle replacement." Foot and Ankle Surgery 26, no. 5 (2020): 591–95. http://dx.doi.org/10.1016/j.fas.2019.07.015.

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21

Harnroongroj, Thos, Amelia Hummel, Carolyn Sofka, Scott J. Ellis, Jonathan Deland, and Constantine Demetracopoulos. "The “Joint Line Height Ratio” Assessing the Ankle Joint Line Level Before and After Total Ankle Replacement." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0020. http://dx.doi.org/10.1177/2473011419s00202.

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Category: Ankle Arthritis Introduction/Purpose: n important principle of joint replacement is to restore the joint line to its native level. Previous studies have demonstrated a correlation between clinical outcomes and our ability to restore the joint in total knee arthroplasty. To date, there has been no study to assess restoration of joint height in total ankle replacement (TAR). In addition, there is no accepted method for assess joint line height in patients who undergo TAR. The objective of this study is to develop a reliable radiographic ankle joint line level measurement. Additionally,
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Deforth, Manja, Nicola Krähenbühl, Lukas Zwicky, Markus Knupp, and Beat Hintermann. "Supramalleolar Osteotomy for Tibial Component Malposition in Total Ankle Replacement." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0000. http://dx.doi.org/10.1177/2473011417s000039.

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Category: Ankle Introduction/Purpose: A key for success in total ankle replacement is a balanced ankle joint. If the tibial component is misaligned, the ligamentous structures, the malleoli and the tendons may be overused, which, may lead to pain and impairment during gait. A misaligned tibial component can be revised using a corrective bone resection and re-insertion of a new component or using a corrective osteotomy of the distal tibia above the stable implant. The aim of this study was to review a series of patients, in whom a corrective supramalleolar osteotomy was performed to realign a m
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Sturnick, Daniel, Guilherme Saito, Scott Ellis, and Constantine Demetracopoulos. "Ankle and Hindfoot Kinematics of a Next Generation Total Ankle Replacement During Simulated Gait." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0011. http://dx.doi.org/10.1177/2473011418s00119.

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Category: Ankle Arthritis Introduction/Purpose: Total ankle arthroplasty (TAA) has developed as a viable treatment option for end-stage ankle arthritis. The primary benefit proposed with TAA is that allows for maintained motion of the ankle and hindfoot joint compared to the alternative option of an ankle arthrodesis. Consequently, recent TAA systems have focused on designs that advance kinematic function. Cadaveric gait simulation is a valuable tool for investigating the direct effects of surgical procedures and devices on foot and ankle biomechanics. The objective of this study was to assess
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Harnroongroj, Thos, Lauren G. Volpert, Scott J. Ellis, Carolyn M. Sofka, Jonathan T. Deland, and Constantine A. Demetracopoulos. "Comparison of Tibial and Talar Bone Density in Patients Undergoing Total Ankle Replacement vs Non–Ankle Arthritis Matched Controls." Foot & Ankle International 40, no. 12 (2019): 1408–15. http://dx.doi.org/10.1177/1071100719868496.

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Background: Bone quality in the distal tibia and talus is an important factor contributing to initial component stability in total ankle replacement (TAR). However, the effect of ankle arthritis on bone density in the tibia and talus remains unclear. The objective of this study was to compare bone density of tibia and talus in arthritic and nonarthritic ankles as a function of distance from ankle joint. Methods: We retrospectively reviewed 93 end-stage ankle arthritis patients who had preoperative nonweightbearing ankle computed tomography (CT) and identified a cohort of 83 nonarthritic ankle
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Palanca, Ariel, Roger A. Mann, Jeffrey A. Mann, and Andrew Haskell. "Scandinavian Total Ankle Replacement: 15-Year Follow-up." Foot & Ankle International 39, no. 2 (2018): 135–42. http://dx.doi.org/10.1177/1071100717738747.

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Background: Over the past decade, total ankle arthroplasty (TAA) has become a mainstay in the treatment of end-stage ankle arthritis. Currently in its fourth generation, the Scandanavian Total Ankle Replacement (STAR) is the only 3-piece mobile bearing ankle prosthesis available in the United States. Our current study reports implant survivorship at 15 years and patient outcomes for a subset of these survivors available for study. Methods: Eighty-four TAAs were performed between 1998 and 2000. Metal component survivorship at 15 years was calculated with a Kaplan-Meier curve. Twenty-four (29%)
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Janis, Leonard R., Bronwyn Wilke, Bradley D. Beasley, Erik Ploot, and Anh T. Lam. "Progressive post-traumatic ankle arthrosis treated with total ankle joint replacement: a case review." Clinics in Podiatric Medicine and Surgery 20, no. 2 (2003): 335–59. http://dx.doi.org/10.1016/s0891-8422(03)00010-7.

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27

Houdijk, Han, H. Cornelis Doets, Marienke van Middelkoop, and H. E. J. (Dirkjan) Veeger. "Joint stiffness of the ankle during walking after successful mobile-bearing total ankle replacement." Gait & Posture 27, no. 1 (2008): 115–19. http://dx.doi.org/10.1016/j.gaitpost.2007.03.005.

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28

Brooks, Charles N. "Left Page: Rating Total Ankle Replacement." Guides Newsletter 10, no. 3 (2005): 4–5. http://dx.doi.org/10.1001/amaguidesnewsletters.2005.mayjun02.

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Abstract Total ankle replacement (TAR), also known as total ankle arthroplasty, has been used since the early 1970s, but, because of improvements in both techniques and materials, the procedure is used more frequently, and examiners are asked to rate permanent impairment resulting from TAR. The AMA Guides to the Evaluation of Permanent Impairment, (AMA Guides) is silent about rating ankle impairment following arthroplasty but does provide a two-step method to rate the results of total hip and knee replacements. Using tables in the AMA Guides, examiners can rate disability associated with TAR.
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Meehan, Robert, Sarah McFarlin, William Bugbee, and Michael Brage. "Fresh Ankle Osteochondral Allograft Transplantation for Tibiotalar Joint Arthritis." Foot & Ankle International 26, no. 10 (2005): 793–802. http://dx.doi.org/10.1177/107110070502601002.

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Background: Conventional treatment for tibiotalar joint arthritis relies on arthrodesis or prosthetic arthroplasty. Fresh osteochondral allografting is an alternative procedure to replace diseased articular cartilage. Methods: Eleven patients (average age 43 years; range 18 to 65 years) had fresh osteochondral grafting of the tibiotalar joint. The diagnoses were posttraumatic arthritis in seven ankles, osteoarthritis in two, and an osteochondral defect in two. Precise cuts were made using the Agility® (DePuy, Warsaw IN) ankle arthroplasty jigs. Bipolar replacements were used in nine ankles and
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Krähenbühl, Nicola, Lukas Zwicky, Lilianna Bolliger, Sabine Schädelin, Beat Hintermann, and Markus Knupp. "Mid- to Long-term Results of Supramalleolar Osteotomy." Foot & Ankle International 38, no. 2 (2016): 124–32. http://dx.doi.org/10.1177/1071100716673416.

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Background: Good clinical and radiographic short-term results have been reported for patients who underwent realignment surgery of the hindfoot for treatment of early- and mid-stage ankle osteoarthrosis (OA). However, no mid- to long-term results have been reported. The aim of this study was to gain a better insight into the indications and contraindications for realignment surgery. Methods: Two hundred ninety-four patients (298 ankles) underwent realignment surgery between December 1999 and June 2013. Kaplan-Meier survival analysis was performed with total ankle replacement and arthrodesis of
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Younger, Alastair S. E., Scott MacLean, Timothy R. Daniels, et al. "Initial Hospital-Related Cost Comparison of Total Ankle Replacement and Ankle Fusion With Hip and Knee Joint Replacement." Foot & Ankle International 36, no. 3 (2014): 253–57. http://dx.doi.org/10.1177/1071100714558844.

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Vladimír, Masarik. "Compensation of a Disability After Arthroscopy & Total Ankle joint Replacement." Clinical Social Work 15, no. 2 (2015): 163–69. http://dx.doi.org/10.5604/2222386x.1138447.

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Jeng, Clifford L., and Mark S. Myerson. "Allograft Total Ankle Replacement—A Dead Ringer to the Natural Joint." Foot and Ankle Clinics 13, no. 3 (2008): 539–47. http://dx.doi.org/10.1016/j.fcl.2008.04.002.

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Plaass, Christian, Leif Claassen, Christina Stukenborg-Colsman, et al. "Ankle morphometry based on computerized tomography." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0003. http://dx.doi.org/10.1177/2473011417s000327.

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Category: Ankle Introduction/Purpose: Understanding the morphometry of the ankle joint is crucial to improve total ankle replacement (TAR). Despite improvements of the implant material TAR did not reach comparable success rates to total hip or knee arthroplasty. Recent studies queried whether current designs match with the articular geometry. The present study was performed to evaluate the ankle morphometry and thereby gain information about the joint axis. Methods: We analyzed 96 high-resolution CT-scans of complete caucasian cadaver legs. Using the software Mimics and 3-Matic (Materialize) 2
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Guerrero-Forero, Alvaro Santiago, Otilia Gallegos De la Torre, and Luis A. Gómez-Carlín. "Desarthrodesis of ankle and subtalar stabilization with a flexible system." Journal of the Foot & Ankle 14, no. 1 (2020): 100–103. http://dx.doi.org/10.30795/jfootankle.2020.v14.1151.

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Patients who have undergone ankle arthrodesis frequently suffer from alterations in the adjacent joints and functional limitations. A 56-year-old female with a 22-year history of ankle arthrodesis underwent a conversion of ankle arthrodesis to total ankle replacement, followed by stabilization of the subtalar joint with a flexible system. The FAAM scale preoperative and eight-week postoperative scores were 39/100 and 88/100, respectively, and the SF-36 scale preoperative and eight-week postoperative scores were 37.52 and 73.61, respectively. In this case, ankle function was recovered after the
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Indino, Cristian, Riccardo D’Ambrosi, and Federico Giuseppe Usuelli. "Scientific Production and total ankle arthroplasty." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0026. http://dx.doi.org/10.1177/2473011418s00262.

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Category: Ankle Arthritis Introduction/Purpose: The purpose of this systematic review was to report clinical outcomes on total ankle replacement (TAR) whose data were extracted from national registers. Methods: A systematic review of the literature, to identify all studies reporting outcomes after total ankle replacement, was performed. Two independent investigators performed the research using MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase and Cochrane Databases (1950 to December 2017). Results: Analysis of the literature included 18 articles from 2007 to 2
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Seo, Sang Gyo, Eo Jin Kim, Doo Jae Lee, Kee Jeong Bae, Kyoung Min Lee, and Dong Yeon Lee. "Comparison of Multisegmental Foot and Ankle Motion Between Total Ankle Replacement and Ankle Arthrodesis in Adults." Foot & Ankle International 38, no. 9 (2017): 1035–44. http://dx.doi.org/10.1177/1071100717709564.

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Background: Total ankle replacement (TAR) and ankle arthrodesis (AA) are usually performed for severe ankle arthritis. We compared postoperative foot segmental motion during gait in patients treated with TAR and AA. Methods: Gait analysis was performed in 17 and 7 patients undergoing TAR and AA, respectively. Subjects were evaluated using a 3-dimensional multisegmental foot model with 15 markers. Temporal gait parameters were calculated. The maximum and minimum values and the differences in hallux, forefoot, hindfoot, and arch in 3 planes (sagittal, coronal, transverse) were compared between t
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Deforth, Manja, Nicola Krähenbühl, Lukas Zwicky, Markus Knupp, and Beat Hintermann. "Supramalleolar Osteotomy for Tibial Component Malposition in Total Ankle Replacement." Foot & Ankle International 38, no. 9 (2017): 952–56. http://dx.doi.org/10.1177/1071100717709566.

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Background: Persistent pain despite a total ankle replacement is not uncommon. A main source of pain may be an insufficiently balanced ankle. An alternative to the revision of the existing arthroplasty is the use of a corrective osteotomy of the distal tibia, above the stable implant. This strictly extraarticular procedure preserves the integrity of the replaced joint. The aim of this study was to review a series of patients in whom a corrective supramalleolar osteotomy was performed to realign a varus misaligned tibial component in total ankle replacement. We hypothesized that the supramalleo
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Abbott, Emily M., Zoe Merchant, Erica Lee, et al. "Evaluation of True Ankle Motion Following Total Ankle Replacement Utilizing XROMM technology." Foot & Ankle Orthopaedics 5, no. 4 (2020): 2473011420S0001. http://dx.doi.org/10.1177/2473011420s00017.

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Category: Ankle Arthritis Introduction/Purpose: Total ankle replacement (TAR) is common tool used by the foot and ankle specialist to treat end stage ankle arthritis. Current data about ankle motion following TAR is derived from gait analysis utilizing external markers. Utilizing Xray Reconstruction of Moving Morphology (XROMM), which combines 3-D mapping technology with biplanar fluoroscopy in vivo to visualize true skeletal motion, we can evaluate true motion of TAR implants. Current TAR replacement systems are either mobile bearing or fixed bearing. We hypothesized that subjects implanted w
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Lee, Raymond P., and Sally H. S. Cheng. "Spontaneous resolution of posterior ankle joint loose bodies after total ankle replacement: A case report." Foot and Ankle Surgery 23, no. 2 (2017): e13-e16. http://dx.doi.org/10.1016/j.fas.2016.10.008.

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Boylan, Matthew R., Aldo M. Riesgo, Carl B. Paulino, and Steven C. Sheskier. "Does Total Ankle Arthroplasty Belong in the Comprehensive Care for Joint Replacement?" Journal of Foot and Ankle Surgery 57, no. 1 (2018): 69–73. http://dx.doi.org/10.1053/j.jfas.2017.08.008.

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Sun, Shuh-Ping, Ben-Chih Yuan, and Hui-Wen Su. "Full-scale 3D multimedia preoperative planning system for total ankle joint replacement." Multimedia Tools and Applications 70, no. 3 (2012): 1749–65. http://dx.doi.org/10.1007/s11042-012-1187-9.

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Harnroongroj, Thos, Lauren Volpert, Daniel Sturnick, et al. "Comparison of Tibial and Talar Bone Density as a Function of Resection Level in Patients Undergoing Total Ankle Replacement vs Demographic-Matched Controls." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0020. http://dx.doi.org/10.1177/2473011419s00201.

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Category: Ankle Arthritis Introduction/Purpose: Initial implant fixation is critical for long-term success of total ankle replacement (TAR). One important factor which contributes to implant stability is the quality of the surrounding bone. Previous studies characterized a decrease in bone density with increasing distance from the level of the joint in the tibia and talus in non-arthritic ankles. However, ankle arthritis affects bone density remains unclear. The objective of this study is to compare the bone density in patients with and without ankle arthritis as a function of resection level
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Indino, Cristian, Alberto Leardini, Luigi Manzi, Camilla Maccario, and Federico Giuseppe Usuelli. "Range of Motion Following Total Ankle Replacement and Subtalar Fusion Through Lateral Versus Anterior Approach. Biomechanics Analysis." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0026. http://dx.doi.org/10.1177/2473011418s00260.

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Category: Ankle Arthritis Introduction/Purpose: A gait analysis of patients who underwent simultaneous total ankle replacement (TAR) and subtalar fusion allows to assess the ankle range of motion (ROM) with precision. In healthy subjects or in patients who underwent isolated TAR this is not possible because it is influenced by the subtalar ROM and it is not possible to analyse the two joints separately. Excluding the role of the subtalar joint, it is possible to analyse the consequences of different prosthetic designs and different surgical approaches on joint kinematics. The aim was to evalua
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Buechel, Frederick F., Michael J. Pappas, and Louis J. Iorio. "New Jersey Low Contact Stress Total Ankle Replacement: Biomechanical Rationale and Review of 23 Cementless Cases." Foot & Ankle 8, no. 6 (1988): 279–90. http://dx.doi.org/10.1177/107110078800800603.

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A congruent contact, unconstrained, multiaxial ankle replacement has been developed for use without cement. A talar onlay component with a trochlear surface and central fixation fin uses a cylindrical articulating axis that reproduces the lateral talar curvature. A tibial inlay component with a 7° anteriorly inclined short fixation stem uses a flat loading plate, recessed anatomically into the distal tibia to distribute tibial loads to the ankle joint. For both components, made of cast cobalt-chromium-molybdenum, a 275-μm pore-size, sintered-bead, porous coating is used to allow tissue ingrowt
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Franz, Anne-Constance, Manja Deforth, Lukas Zwicky, Christine Schweizer, and Beat Hintermann. "Complications, Reoperations, and Postoperative Outcomes of Simultaneous Supramalleolar Osteotomy and Total Ankle Replacement in Misaligned Osteoarthritic Ankles in Comparison to Total Ankle Replacement Alone." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0005. http://dx.doi.org/10.1177/2473011418s00052.

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Category: Ankle Arthritis Introduction/Purpose: A key for success in total ankle replacement (TAR) is a balanced ankle joint with a physiological loading of the implant, minimizing the wear of the polyethylene insert. Theoretically, in ankles with distal tibial deformities, this can be achieved with a correcting tibial resection cut. As an alternative, supramalleolar osteotomy (SMOT) can be used for balancing the ankle during TAR surgery. To date, however, no data exist whether a SMOT in addition to TAR results in better outcome over time, and which are the additional risks with such extensive
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Ramaskandhan, Jayasree Ramas, Malik S. Siddique, and Karen Smith. "Do Total Ankle Replacements have Worse Outcomes when Compared to Total Knee and Hip Replacements at 10 Years Post-Operatively? A Prospective Clinical Study." Foot & Ankle Orthopaedics 5, no. 4 (2020): 2473011420S0007. http://dx.doi.org/10.1177/2473011420s00072.

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Category: Ankle Arthritis; Ankle Introduction/Purpose: There is paucity of literature comparing patient reported outcomes (PROMs) between total joint arthroplasties. There is a need to study the PROMS data to understand outcomes of treatment and factors affecting outcomes. We aimed to to study the PROMs data for total ankle replacement (TAR) to 10 years. To study how PROMS outcomes of TAR compare to total hip replacement (THR) and total knee replacement (TKR) at 10 years Methods: This is a prospective data collection from local hospital joint registry. 10 year follow up data was collected from
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De la Fuente, Carlos, Eduardo Martinez-Valdes, Carlos Cruz-Montecinos, et al. "Changes in the ankle muscles co-activation pattern after 5 years following total ankle joint replacement." Clinical Biomechanics 59 (November 2018): 130–35. http://dx.doi.org/10.1016/j.clinbiomech.2018.09.019.

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Martinelli, Nicoló, Silvia Baretta, Alberto Bianchi Castagnone Prati, Francesco Malerba, Carlo Corrado Bonifacini, and Fabio Galbusera. "Contact Stresses in a Fixed-Bearing Total Ankle Replacement." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0002. http://dx.doi.org/10.1177/2473011417s000284.

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Category: Ankle, Ankle Arthritis, Basic Sciences/Biologics Introduction/Purpose: Third-generation ankle implants with good clinical results continued to increase the popularity of total ankle arthroplasty (TAA) to address end-stage ankle osteoarthritis preserving joint movement. Newer TAA used fixed-bearing designs, with a theoretical increase of contact stresses leading to a higher polyethylene wear. The purpose of this study was to investigate the contact stresses in the polyethylene component of a new third-generation TAA, with a fixed-bearing design, using 3D finite element analysis. Metho
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Ramaskandhan, Jayasree, Anjum Rashid, Simon Kometa, and Malik S. Siddique. "Comparison of 5-Year Patient-Reported Outcomes (PROMs) of Total Ankle Replacement (TAR) to Total Knee Replacement (TKR) and Total Hip Replacement (THR)." Foot & Ankle International 41, no. 7 (2020): 767–74. http://dx.doi.org/10.1177/1071100720918880.

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Background: Total ankle replacement (TAR) is becoming a more common alternative to ankle arthrodesis for the improvement of pain and function in end-stage arthritis of the ankle. The effects of end-stage arthritis of the ankle are similar to those of end-stage hip arthritis. There is a paucity of literature on patient-reported outcome measures (PROMs) following TARs in comparison with total hip replacement (THR) or total knee replacement (TKR). We aimed to study the 1-, 3-, and 5-year outcomes of TAR in comparison with TKR and THR. Methods: PROMs data from patients who underwent a primary THR,
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