Progress of total ankle arthroplasty for end-stage ankle osteoarthritis_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SUN Zhenhui , LI Nan , ZHANG Tao ,  XIN Jingyi , MA Xinlong

Department of Foot and Ankle Surgery, Tianjin Hospital, Tianjin, 300211, P.R.China;

Corresponding?author：

XIN Jingyi, Email: jingyixin@126.com

Keywords：

Ankle osteoarthritis; total ankle arthroplasty; prosthesis; alignment; patient-specific guide

DOI：

10.7507/1002-1892.201803028

Video：

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Objective To review the progress of total ankle arthroplasty (TAA) in treatment of end-stage ankle osteoarthritis (AOA). Methods The domestic and foreign literatures about TAA in recent years were reviewed. The current status and progress of TAA were summarized from the results of traditional and computer-assisted TAA clinical outcomes. Results End-stage AOA often leads to severe pain and dysfunction, and arthrodesis is still the main selective treatment option. In recent years, with the advancement of surgical techniques and prosthesis design, TAA which can remain joint mobility has increased gradually, and the surgical results also have significant progress. Accurate prosthesis implant and mechanical alignment restoration are critical factors for TAA, and surgery-related malalignment is correlative to the prosthesis failure. Computer assisted patient-specific guide can simplify the TAA procedures and obtain the accuracy of tibia and talus osteotomy. Conclusion The clinical efficiency of preoperative CT based patient-specific guide technology for TAA needs further clinical follow-up. Meanwhile, it is necessary to further develop intraoperative navigation and robotic surgery system suitable for TAA.

Citation： SUN Zhenhui, LI Nan, ZHANG Tao, XIN Jingyi, MA Xinlong. Progress of total ankle arthroplasty for end-stage ankle osteoarthritis. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(10): 1313-1316. doi: 10.7507/1002-1892.201803028 Copy

1.	Robinson AHN, Keith T. Osteoarthritis of the ankle. Orthop Trauma, 2016, 30(1): 59-67.
2.	Goldberg AJ, MacGregor A, Dawson J, et al. The demand incidence of symptomatic ankle osteoarthritis presenting to foot & ankle surgeons in the United Kingdom. Foot (Edinb), 2012, 22(3): 163-166.
3.	Saltzman CL, Salamon ML, Blanchard GM, et al. Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J, 2005, 25: 44-46.
4.	Colin F, Bolliger L, Horn Lang T, et al. Effect of supramalleolar osteotomy and total ankle replacement on talar position in the varus osteoarthritic ankle: a comparative study. Foot Ankle Int, 2014, 35(5): 445-452.
5.	Barg A, Pagenstert GI, Hügle T, et al. Ankle osteoarthritis: etiology, diagnostics, and classification. Foot Ankle Clin, 2013, 18(3): 411-426.
6.	Grunfeld R, Aydogan U, Juliano P. Ankle arthritis: review of diagnosis and operative management. Med Clin North Am, 2014, 98(2): 267-289.
7.	Maffulli N, Longo UG, Locher J, et al. Outcome of ankle arthrodesis and ankle prosthesis: a review of the current status. Br Med Bull, 2017, 124(1): 91-112.
8.	Simonson DC, Roukis TS. Incidence of complications during the surgeon learning curve period for primary total ankle replacement: A systematic review. Clin Podiatr Med Surg, 2015, 32(4): 473-482.
9.	Schimmel JJ, Walschot LH, Louwerens JW. Comparison of the short-term results of the first and last 50 Scandinavian total ankle replacements: assessment of the learning curve in a consecutive series. Foot Ankle Int, 2014, 35(4): 326-333.
10.	Brigido SA, Carrington SC, Protzman NM. Complex total ankle arthroplasty. Clin Podiatr Med Surg, 2017, 34(4): 529-539.
11.	Kamrad I, Carlsson A, Henricson A, et al. Good outcome scores and high satisfaction rate after primary total ankle replacement. Acta Orthop, 2017, 88(6): 675-680.
12.	Pangrazzi GJ, Baker EA, Shaheen PJ, et al. Single-surgeon experience and complications of a fixed-bearing total ankle arthroplasty. Foot Ankle Int, 2018, 39(1): 46-58.
13.	Hansen DC, Kusuma SK, Palmer RM, et al. Robotic guidance does not improve component position or short-term outcome in medial unicompartmental knee arthroplasty. J Arthroplasty, 2014, 29(9): 1784-1789.
14.	Liow MH, Xia Z, Wong MK, et al. Robot-assisted total knee arthroplasty accurately restores the joint line and mechanical axis. A prospective randomised study. J Arthroplasty, 2014, 29(12): 2373-2377.
15.	Roukis TS, Berlet GC, Bibbo C, et al, Primary and Revision Total Ankle Replacement: Evidence-Based Surgical Management. Berlin: Springer, 2015: 15-24.
16.	Kostuj T, Preis M, Walther M, et al. German total ankle replacement register of the German Foot and Ankle Society (D. A. F.)-Presentation of design and reliability of the data as well as first results. Z Orthop Unfall, 2014, 152(5): 446-454.
17.	Latham WC, Lau JT. Total ankle arthroplasty: An overview of the Canadian experience. Foot Ankle Clin, 2016, 21(2): 267-281.
18.	Pugely AJ, Lu X, Amendola A, et al. Trends in the use of total ankle replacement and ankle arthrodesis in the United States Medicare population. Foot Ankle Int, 2014, 35(3): 207-215.
19.	Seaworth CM, Do HT, Vulcano E, et al. Epidemiology of total ankle arthroplasty: Trends in New York State. Orthopedics, 2016, 39(3): 170-176.
20.	Stavrakis AI, SooHoo NF. Trends in complication rates following ankle arthrodesis and total ankle replacement. J Bone Joint Surg (Am), 2016, 98(17): 1453-1458.
21.	Jastifer JR, Coughlin MJ. Long-term follow-up of mobile bearing total ankle arthroplasty in the United States. Foot Ankle Int, 2015, 36(2): 143-150.
22.	Lawton CD, Butler BA, Dekker RG, et al. Total ankle arthroplasty versus ankle arthrodesis-a comparison of outcomes over the last decade. J Orthop Surg Res, 2017, 12(1): 1-10.
23.	Roser A, Altenberger S, Walther M. Total ankle replacement. MMW Fortschr Med, 2017, 159(16): 48-51.
24.	Kakkar R, Siddique MS. Stresses in the ankle joint and total ankle replacement design. Foot Ankle Surg, 2011, 17(2): 58-63.
25.	Espinosa N, Walti M, Favre P, et al. Misalignment of total ankle components can induce high joint contact pressures. J Bone Joint Surg (Am), 2010, 92(5): 1179-1187.
26.	Fukuda T, Haddad SL, Ren Y, et al. Impact of talar component rotation on contact pressure after total ankle arthroplasty: a cadaveric study. Foot Ankle Int, 2010, 31(5): 404-411.
27.	Roukis TS, Elliott AD. Use of soft-tissue procedures for managing varus and valgus malalignment with total ankle replacement. Clin Podiatr Med Surg, 2015, 32(4): 517-528.
28.	Jonck JH, Myerson MS. Revision total ankle replacement. Foot and Ankle Clinics of North America, 2012, 17(4): 687-706.
29.	Hsu AR, Haddad SL, Myerson MS. Evaluation and management of the painful total ankle arthroplasty. J Am Acad Orthop Surg, 2015, 23(5): 272-282.
30.	Usuelli FG, Maccario C, Manzi L, et al. Posterior talar shifting in mobile-bearing total ankle replacement. Foot Ankle Int, 2016, 37(3): 281-287.
31.	Barg A, Elsner A, Anderson AE, et al. The effect of three-component total ankle replacement malalignment on clinical outcome: pain relief and functional outcome in 317 consecutive patients. J Bone Joint Surg (Am), 2011, 93(21): 1969-1978.
32.	Berlet GC, Penner MJ, Lancianese S, et al. Total ankle arthroplasty accuracy and reproducibility using preoperative CT scan-derived, patient-specific guides. Foot Ankle Int, 2014, 35(7): 665-676.
33.	Adams SB, Spritzer CE, Hofstaetter SG, et al. Computer-assisted tibia preparation for total ankle arthroplasty: a cadaveric study. Int J Med Robot, 2007, 3(4): 336-340.
34.	Hsu AR, Davis WH, Cohen BE, et al. Radiographic outcomes of preoperative CT scan-derived patient-specific total ankle arthroplasty. Foot Ankle Int, 2015, 36(10): 1163-1169.
35.	Waly FJ, Yeo NE, Penner MJ. Computed navigation guidance for ankle replacement in the setting of ankle deformity. Clin Podiatr Med Surg, 2018, 35(1): 85-94.
36.	Reb CW, Berlet GC. Experience with navigation in total ankle arthroplasty. Is it worth the cost? Foot Ankle Clin, 2017, 22(2): 455-463.
37.	Daigre J, Berlet G, Van Dyke B, et al. Accuracy and reproducibility using patient-Specific Instrumentation in Total Ankle Arthroplasty. Foot Ankle Int, 2017, 38(4): 412-418.
38.	Werner S, Brage M. Comparison of two operative techniques for total ankle arthroplasty: Intramedullary referencing vs. CT scan-derived patient-specific guides. Foot & Ankle Orthopaedics, 2016, 1(1): 2473011416S2473000155.
39.	Hamid KS, Matson AP, Nwachukwu BU, et al. Determining the cost-savings threshold and alignment accuracy of patient-specific instrumentation in total ankle replacements. Foot Ankle Int, 2017, 38(1): 49-57.

1. Robinson AHN, Keith T. Osteoarthritis of the ankle. Orthop Trauma, 2016, 30(1): 59-67.
2. Goldberg AJ, MacGregor A, Dawson J, et al. The demand incidence of symptomatic ankle osteoarthritis presenting to foot & ankle surgeons in the United Kingdom. Foot (Edinb), 2012, 22(3): 163-166.
3. Saltzman CL, Salamon ML, Blanchard GM, et al. Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center. Iowa Orthop J, 2005, 25: 44-46.
4. Colin F, Bolliger L, Horn Lang T, et al. Effect of supramalleolar osteotomy and total ankle replacement on talar position in the varus osteoarthritic ankle: a comparative study. Foot Ankle Int, 2014, 35(5): 445-452.
5. Barg A, Pagenstert GI, Hügle T, et al. Ankle osteoarthritis: etiology, diagnostics, and classification. Foot Ankle Clin, 2013, 18(3): 411-426.
6. Grunfeld R, Aydogan U, Juliano P. Ankle arthritis: review of diagnosis and operative management. Med Clin North Am, 2014, 98(2): 267-289.
7. Maffulli N, Longo UG, Locher J, et al. Outcome of ankle arthrodesis and ankle prosthesis: a review of the current status. Br Med Bull, 2017, 124(1): 91-112.
8. Simonson DC, Roukis TS. Incidence of complications during the surgeon learning curve period for primary total ankle replacement: A systematic review. Clin Podiatr Med Surg, 2015, 32(4): 473-482.
9. Schimmel JJ, Walschot LH, Louwerens JW. Comparison of the short-term results of the first and last 50 Scandinavian total ankle replacements: assessment of the learning curve in a consecutive series. Foot Ankle Int, 2014, 35(4): 326-333.
10. Brigido SA, Carrington SC, Protzman NM. Complex total ankle arthroplasty. Clin Podiatr Med Surg, 2017, 34(4): 529-539.
11. Kamrad I, Carlsson A, Henricson A, et al. Good outcome scores and high satisfaction rate after primary total ankle replacement. Acta Orthop, 2017, 88(6): 675-680.
12. Pangrazzi GJ, Baker EA, Shaheen PJ, et al. Single-surgeon experience and complications of a fixed-bearing total ankle arthroplasty. Foot Ankle Int, 2018, 39(1): 46-58.
13. Hansen DC, Kusuma SK, Palmer RM, et al. Robotic guidance does not improve component position or short-term outcome in medial unicompartmental knee arthroplasty. J Arthroplasty, 2014, 29(9): 1784-1789.
14. Liow MH, Xia Z, Wong MK, et al. Robot-assisted total knee arthroplasty accurately restores the joint line and mechanical axis. A prospective randomised study. J Arthroplasty, 2014, 29(12): 2373-2377.
15. Roukis TS, Berlet GC, Bibbo C, et al, Primary and Revision Total Ankle Replacement: Evidence-Based Surgical Management. Berlin: Springer, 2015: 15-24.
16. Kostuj T, Preis M, Walther M, et al. German total ankle replacement register of the German Foot and Ankle Society (D. A. F.)-Presentation of design and reliability of the data as well as first results. Z Orthop Unfall, 2014, 152(5): 446-454.
17. Latham WC, Lau JT. Total ankle arthroplasty: An overview of the Canadian experience. Foot Ankle Clin, 2016, 21(2): 267-281.
18. Pugely AJ, Lu X, Amendola A, et al. Trends in the use of total ankle replacement and ankle arthrodesis in the United States Medicare population. Foot Ankle Int, 2014, 35(3): 207-215.
19. Seaworth CM, Do HT, Vulcano E, et al. Epidemiology of total ankle arthroplasty: Trends in New York State. Orthopedics, 2016, 39(3): 170-176.
20. Stavrakis AI, SooHoo NF. Trends in complication rates following ankle arthrodesis and total ankle replacement. J Bone Joint Surg (Am), 2016, 98(17): 1453-1458.
21. Jastifer JR, Coughlin MJ. Long-term follow-up of mobile bearing total ankle arthroplasty in the United States. Foot Ankle Int, 2015, 36(2): 143-150.
22. Lawton CD, Butler BA, Dekker RG, et al. Total ankle arthroplasty versus ankle arthrodesis-a comparison of outcomes over the last decade. J Orthop Surg Res, 2017, 12(1): 1-10.
23. Roser A, Altenberger S, Walther M. Total ankle replacement. MMW Fortschr Med, 2017, 159(16): 48-51.
24. Kakkar R, Siddique MS. Stresses in the ankle joint and total ankle replacement design. Foot Ankle Surg, 2011, 17(2): 58-63.
25. Espinosa N, Walti M, Favre P, et al. Misalignment of total ankle components can induce high joint contact pressures. J Bone Joint Surg (Am), 2010, 92(5): 1179-1187.
26. Fukuda T, Haddad SL, Ren Y, et al. Impact of talar component rotation on contact pressure after total ankle arthroplasty: a cadaveric study. Foot Ankle Int, 2010, 31(5): 404-411.
27. Roukis TS, Elliott AD. Use of soft-tissue procedures for managing varus and valgus malalignment with total ankle replacement. Clin Podiatr Med Surg, 2015, 32(4): 517-528.
28. Jonck JH, Myerson MS. Revision total ankle replacement. Foot and Ankle Clinics of North America, 2012, 17(4): 687-706.
29. Hsu AR, Haddad SL, Myerson MS. Evaluation and management of the painful total ankle arthroplasty. J Am Acad Orthop Surg, 2015, 23(5): 272-282.
30. Usuelli FG, Maccario C, Manzi L, et al. Posterior talar shifting in mobile-bearing total ankle replacement. Foot Ankle Int, 2016, 37(3): 281-287.
31. Barg A, Elsner A, Anderson AE, et al. The effect of three-component total ankle replacement malalignment on clinical outcome: pain relief and functional outcome in 317 consecutive patients. J Bone Joint Surg (Am), 2011, 93(21): 1969-1978.
32. Berlet GC, Penner MJ, Lancianese S, et al. Total ankle arthroplasty accuracy and reproducibility using preoperative CT scan-derived, patient-specific guides. Foot Ankle Int, 2014, 35(7): 665-676.
33. Adams SB, Spritzer CE, Hofstaetter SG, et al. Computer-assisted tibia preparation for total ankle arthroplasty: a cadaveric study. Int J Med Robot, 2007, 3(4): 336-340.
34. Hsu AR, Davis WH, Cohen BE, et al. Radiographic outcomes of preoperative CT scan-derived patient-specific total ankle arthroplasty. Foot Ankle Int, 2015, 36(10): 1163-1169.
35. Waly FJ, Yeo NE, Penner MJ. Computed navigation guidance for ankle replacement in the setting of ankle deformity. Clin Podiatr Med Surg, 2018, 35(1): 85-94.
36. Reb CW, Berlet GC. Experience with navigation in total ankle arthroplasty. Is it worth the cost? Foot Ankle Clin, 2017, 22(2): 455-463.
37. Daigre J, Berlet G, Van Dyke B, et al. Accuracy and reproducibility using patient-Specific Instrumentation in Total Ankle Arthroplasty. Foot Ankle Int, 2017, 38(4): 412-418.
38. Werner S, Brage M. Comparison of two operative techniques for total ankle arthroplasty: Intramedullary referencing vs. CT scan-derived patient-specific guides. Foot & Ankle Orthopaedics, 2016, 1(1): 2473011416S2473000155.
39. Hamid KS, Matson AP, Nwachukwu BU, et al. Determining the cost-savings threshold and alignment accuracy of patient-specific instrumentation in total ankle replacements. Foot Ankle Int, 2017, 38(1): 49-57.

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