Abstract
The results of total ankle arthroplasty using metal (first generation) and ceramic (second) prostheses were not good for loosening sinking. Then, we have replaced on 159 ankles in 146 cases using beads-formed alumina ceramic prostheses (third) from 1991 to 2006. The follow-up periods were ranged from 2 to 17 years (average 6.5 years). Revision was performed for 13 cases (arthrodesis, 3; re-replacement by artificial talus. 10). Overall satisfactory result of new prostheses for OA was 88%, RA was 74%. Results of OA were better than RA. Furthermore, we have re-replaced using ceramic talar whole body for 10 revision cases. These results until present have been good. It is convinced that total arthroplasty with talar whole body can be indicated for cases with severe deformity and revision.
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