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Nuove prospettive nel trattamento dell’artrosi di caviglia: la sostituzione protesica

New perspectives in the management of ankle osteoarthritis: total ankle replacement

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LO SCALPELLO-OTODI Educational

Abstract

Recent advances in prosthesis design, combined with a better understanding of ligamentous balancing and component alignment have renewed interest in total ankle replacement (TAR) as an alternative to ankle arthrodesis in selected patients. The first generation of total ankle prosthesis failed owing to not congruent and unstable designs. Earlier studies for total ankle replacement found excellent or good results in patients who received a newer generation ankle device compared with patients who underwent TAR with previous implants or ankle fusion. Longer follow-up and randomized controlled studies are necessary, but total ankle arthroplasty has become a viable option for surgical treatment of ankle arthritis.

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Authors and Affiliations

  1. Chirurgia della caviglia e del piede, IRCCS Istituto Ortopedico Galeazzi, Milano, Italia

    Francesco Malerba, Nicolò Martinelli & Giovanni Romeo

Authors
  1. Francesco Malerba
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  2. Nicolò Martinelli
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  3. Giovanni Romeo
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Correspondence to Nicolò Martinelli.

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Gli autori Francesco Malerba, Nicolò Martinelli e Giovanni Romeo dichiarano di non avere alcun conflitto di interesse.

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Malerba, F., Martinelli, N. & Romeo, G. Nuove prospettive nel trattamento dell’artrosi di caviglia: la sostituzione protesica. LO SCALPELLO 29, 225–230 (2015). https://doi.org/10.1007/s11639-015-0130-z

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