• Department of Foot and Ankle Surgery, Tianjin Hospital, Tianjin, 300211, P.R.China;
XIN Jingyi, Email: jingyixin@126.com
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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

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