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Primary and Revision Total Ankle Replacement pp 41–52Cite as

Total Ankle Replacement Versus Ankle Arthrodesis

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Abstract

End-stage ankle arthrosis is a debilitating condition with detrimental effects on patient health and function. Traditionally, end-stage ankle arthrosis was managed primarily with ankle arthrodesis, which has been shown to predictably decrease pain and improve function. However, concerns remain regarding alterations in gait, decreased hindfoot range of motion, ipsilateral hindfoot joint arthrosis, and patient expectations. Total ankle replacement (TAR) has become an increasingly popular option due to advancements in prosthesis design and clinical results. TAR has the benefit of providing more normal gait parameters, improved range of motion, and a potentially reduced incidence of adjacent joint arthrosis. However, TAR results in more reoperations and higher complication rates. Based on the current literature, there is no clearly preferred surgical option for end-stage ankle arthrosis. Both procedures are viable options, and each procedure has its own inherent risks and benefits.

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Authors and Affiliations

  1. Department of Surgery, University of Toronto, St. Michael’s Hospital, Suite 800, 55 Queen Street East, Toronto, ON, Canada, M5C 1R6

    Timothy R. Daniels MD, FRCSC & Sagar J. Desai MD, MSc, FRCSC

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  1. Timothy R. Daniels MD, FRCSC
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  2. Sagar J. Desai MD, MSc, FRCSC
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Correspondence to Timothy R. Daniels MD, FRCSC .

Editor information

Editors and Affiliations

  1. Gundersen Health System, La Crosse, Wisconsin, USA

    Thomas S. Roukis

  2. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Gregory C. Berlet

  3. Wisconsin Foot and Ankle Institute, Marshfield, Wisconsin, USA

    Christopher Bibbo

  4. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Christopher F. Hyer

  5. Department of Orthopedics, University of British Columbia, Vancouver, British Columbia, Canada

    Murray J. Penner

  6. Foot and Ankle Center Karlsruhe, Karlsruhe, Germany

    Markus Wünschel

  7. Atlantic Foot & Ankle Center of Chesapeake, Chesapeake, Virginia, USA

    Mark A. Prissel

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Daniels, T.R., Desai, S.J. (2016). Total Ankle Replacement Versus Ankle Arthrodesis. In: Roukis, T., et al. Primary and Revision Total Ankle Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-24415-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-24415-0_5

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