title: Simultaneous bilateral total ankle replacement using a 3-component prosthesis: outcome in 26 patients followed for 2–10 years.
abstract: OBJECTIVE
  Total ankle replacement is an established surgical procedure in patients with end-stage ankle osteoarthritis. We analyzed complications and medium-term results in patients with simultaneous bilateral total ankle replacement.
  
  
  METHODS
  10 women and 16 men, mean age 60 (SD 13) years, were followed for a median of 5 (2-10) years.
  
  
  RESULTS
  There were no intraoperative or perioperative complications, with the exception of 1 patient with prolonged wound healing. Major revision surgery was necessary in 6 of the 52 ankles, including 4 revisions of prosthetic components. The average pain score decreased from 6.9 (4-10) to 1.8 (0-4) points. The American Orthopaedic Foot and Ankle Society hindfoot score increased from 32 (SD 14) points preoperatively to 74 (SD 12) points postoperatively. The average range of motion increased from 28° (SD 12) preoperatively to 38° (SD 9) postoperatively. All 8 categories of SF-36 score improved.
  
  
  CONCLUSIONS
  Simultaneous bilateral total ankle replacement is a suitable method for restoration of function and attainment of pain relief in patients with bilateral end-stage ankle osteoarthritis. The results of this procedure, including complication rates, revision rates, and functional outcome, are comparable to those reported in patients with unilateral total ankle replacement.
authors: Clinic of Orthopaedic Surgery, Kantonsspital Liestal, Switzerland. alexejbarg@mail.ru
authors: Alexej
authors: A
authors: Barg
authors: Heath B
authors: HB
authors: Henninger
authors: Markus
authors: M
authors: Knupp
authors: Beat
authors: B
authors: Hintermann
mesh_terms: D000328:Adult; D000368:Aged; D000843:Ankle Joint / Q000000981:diagnostic imaging; D058737:Arthroplasty, Replacement, Ankle / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis; D007595:Joint Prosthesis / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000175:diagnosis; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D016059:Range of Motion, Articular; D012086:Reoperation; D016896:Treatment Outcome