AI Article Synopsis
- The study reviews 62 total ankle arthroplasties conducted between 1972 and 1981, with only 13 out of 41 reviewed considered satisfactory after an average of 5.5 years.
- Complications were common, including issues like superficial wound healing problems, talar collapse, and loosening of components, leading to 13 prosthetic joints being removed and attempts at arthrodesis.
- Due to the high complication rate and poor long-term outcomes, the authors suggest arthrodesis as the preferred treatment for painful, stiff arthritic ankles.
Article Abstract
We report a retrospective study of 62 total ankle arthroplasties performed between 1972 and 1981. Forty-one of these have been reviewed clinically after an average follow-up of five and a half years; only 13 can be described as satisfactory. The complications encountered in all 62 arthroplasties are detailed, the most significant being superficial wound healing problems, talar collapse, and loosening of the components; 13 prosthetic joints have already been removed and arthrodesis attempted. The management of the complications is discussed. In view of the high complication rate and the generally poor long-term clinical results, we recommend arthrodesis as the treatment of choice for the painful stiff arthritic ankle, regardless of the underlying pathological process.
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| http://dx.doi.org/10.1302/0301-620X.67B5.4055882 | DOI Listing |
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