Abstract
Introduction
Total Ankle replacement designs continue to evolve, and provide an alternative to ankle arthrodesis for patients with ankle arthritis. It has been our practice to offer total ankle replacement to selected patients with ankle arthritis. The purpose of this study was to analyse the short term results of our patients with the Mobility R Total Ankle Replacement (TAR) system.
Methods
All patients who received TAR in our practice from 2004 to 2011 were reviewed. American Orthopaedic Foot and Ankle Scores AOFAS were assessed and compared both preoperatively and at time of follow-up. All complications both intra-operative and post-operatively were noted. Weight bearing X-rays were taken at follow-up, and implant alignment and the presence of lucencies were noted.
Results
21 patients were evaluated. All showed an improvement in AOFAS scores; however the improvement showed a wide variation. All patients showed an improvement in pain scores. Post-operative ankle stiffness, specifically dorsi-flexion, was problematic in several patients. Marked prolonged swelling was problematic for many patients.
Conclusions
Total ankle replacement provides a good option for patients with ankle arthritis. Swelling and post-operative stiffness continue to be a problem, and should be explained to patients.
MULTIPLE DISCLOSURES
