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Transfibular Total Ankle Replacement is beneficial
approach for pain management and improving functional outcomes in patients with
ankle arthritis.
Trans fibular total ankle replacement shows remarkable improvements were observed in the range of motion, radiographic parameters and patient-reported outcomes for managing ankle arthritis, as per research published in Foot & Ankle International Journal. Ankle arthritis is a significant cause of disability and pain following degeneration of the quality of life. Prosthetic replacement of the ankle has shown to be a reliable choice with new advancements in surgical instrumentation and techniques as compared to arthrodesis with similar outcomes. This study aimed to assess the radiological and clinical outcomes of trans fibular total ankle replacement with two years follow-up.
A total of 89 patients with 53.2 ± 13.5 years mean age went through the trans fibular total ankle arthroplasty between May 2013 and February 2016. All patients were observed for two years after the treatment with a mean follow-up of 42.0 ± 23.5 months. Radiographic and clinical assessment of patients was done at six months, one and two years after the procedure.
A statistically
significant improvement in the visual analog scale (VAS), Short Form-12
Physical and Mental Composite Scores, and American Orthopaedic Foot & Ankle
Society (AOFAS) Ankle-Hind foot Score was seen after two years of
follow-up (P < .001). The ankle
plantar flexion and dorsiflexion improved from 9.6 ± 5.8 and 6.2 ± 5.5 to 18.1
± 7.6 and 24.2 ± 7.9, respectively. Management of neutral alignment of the
ankle was also demonstrated at two years. No radiographic evidence of talar or
tibial lucency was seen after the follow-up. Seven patients went through the
operation again for symptomatic hardware removal; two patients noticed delayed
wound healing. First patients operated with plate removal and flap coverage;
whereas the second patient went for fibular plate removal. Postoperative
prosthetic infection was seen in one patient who required operative
debridement, placement of an antibiotic spacer, and removal of implants.
Additional investigation is needed to discover the mid- and long-term
performance of these implants.
Foot & Ankle International
Clinical and Radiological Outcomes of Transfibular Total Ankle Arthroplasty.
Federico G. Usuelli et al.
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