Ankle Arthrodesis Versus Total Ankle Arthroplasty

Joel Morash; David M Walton; Mark Glazebrook

doi:10.1016/j.fcl.2017.01.013

Ankle Arthrodesis Versus Total Ankle Arthroplasty

Foot Ankle Clin. 2017 Jun;22(2):251-266. doi: 10.1016/j.fcl.2017.01.013.

Authors

Joel Morash¹, David M Walton², Mark Glazebrook³

Affiliations

¹ QE2 Health Science Center, Halifax Infirmary (Room 4867), 1796 Summer Street, Halifax, Nova Scotia B3H 3A7, Canada. Electronic address: joel.morash@dal.ca.
² Beaumont Orthopedics, Michigan Orthopedic Institute, Royal Oak, MI 21601, USA.
³ QE2 Health Science Center, Halifax Infirmary (Room 4867), 1796 Summer Street, Halifax, Nova Scotia B3H 3A7, Canada.

PMID: 28502347
DOI: 10.1016/j.fcl.2017.01.013

Abstract

Reoperation rates are higher in total ankle arthroplasties (TAAs) compared with ankle arthrodesis. Infection rates for primary TAAs are 1.4% to 2.4%. The survival rate of TAA is approximately 75% to 90% at 10 years. Arc of motion is maintained with TAAs compared with ankle arthrodesis. Ankle arthrodesis increases arc of motion through the talonavicular joint. Several factors are strong reasons to favor ankle fusion rather than TAA. TAA and ankle arthrodesis are effective treatments of end-stage ankle arthritis but the choice must be tailored to individual patients.

Keywords: Ankle arthrodesis; Ankle arthroplasty; Ankle fusion; Ankle replacement.

Publication types

Review

MeSH terms

Ankle Joint / diagnostic imaging
Ankle Joint / surgery*
Arthritis / surgery*
Arthrodesis / methods*
Arthroplasty, Replacement, Ankle*
Humans
Tarsal Joints / diagnostic imaging
Tarsal Joints / physiology