Operative Treatment of Nonprimary Osteochondral Lesions of the Talus: A Systematic Review.

Background: Nonprimary osteochondral lesions of the talus (OLT) pose a significant challenge in orthopaedics, with no definitive consensus on optimal surgical treatment.

Purpose: To consolidate the most recent evidence on operative treatments for nonprimary OLT by assessing patient-reported outcomes (PROs), postoperative complications, and clinical failures.

Study Design: Systematic review; Level of evidence, 4.

Total ankle replacement in patients under the age of 50. Should the indications be revised?

Background: High physical demand and young age are currently considered contraindications for total ankle replacement. This study aimed to compare its results between patients under the age of 50 and those aged 50 or older.

Methods: 103 patients derived from an ongoing prospective multicentric study with a mean follow-up of 41 (range, 24-72) months were included in this study.

Functional results and complication analysis after total ankle replacement: early to medium-term results from a Portuguese and Spanish prospective multicentric study.

Background: Ankle arthroplasty is increasingly being used to treat end-stage ankle osteoarthritis.

Methods: Between January 2005 and January 2011, 159 patients have been included in an ongoing prospective multicentric study analysing the results of total ankle arthroplasty in Portugal and Spain. 119 patients (119 replacements) were available for review and were evaluated for range of motion (ROM), clinical status (American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score), complications and survivorship rate.