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Abstract

Aims: To report medium term results of Beuchal Pappas total ankle replacement carried out at Corbett hospital. Methods: We report a series of 15 patients who underwent this procedure at the Corbett hospital in Dudley between February 95 and March 01. One patient died of an unrelated cause and 14 were followed for an average of 4 years. All patients received the New Jersey total ankle replacement performed by one senior consultant orthopaedic surgeon (SA). The patients were invited to attend a special follow up clinic for clinical and radiological review. The Kitioka ankle scoring system was used to assess outcome. Results: The average age was 64 years. There were 8 women and 6 men. The preoperative diagnosis was advanced post-traumatic arthritis in all patients. Two underwent revision of tibial component- one at 3 years post operative for septic loosening, and the other at 2 years post operative for aseptic loosening. One patient required open washout 7 months post operative for deep infection. The average ankle score in the group was 79. All patients replied in the afþr-mative when asked if they would undergo the operation again. Conclusions: We feel that in carefully selected patients ankle replacement gives satisfactory outcome and can be safely performed in a district general hospital setting. Careful preoperative counselling regarding risks of loosening and infection is essential.