title: Total ankle replacement for posttraumatic arthritis. Similar outcome in postfracture and instability arthritis: a comparison of 90 ankles.
abstract: OBJECTIVE
  Most studies on total ankle replacement (TAR) have used a case mix of patients. We evaluated the outcome of TAR performed for end-stage arthritis either because of fracture or ligamentous injury.
  
  
  METHODS
  We prospectively followed 88 consecutive patients (50 postfracture ankles and 40 ankles with instability arthritis (2 bilateral)) who underwent TAR between 2001 and 2009. Mean follow-up for both groups was 5 years.
  
  
  RESULTS
  Preoperative varus deformity of 10° or more was present in 23 ankles in the instability group. At 6 years, survival with revision or salvage fusion as an endpoint was 87% (95% CI: 74-99) in the postfracture group and 79% (95% CI: 63-94) in the instability group. Progressive periprosthetic osteolysis was seen in 23 ankles, and required salvage fusion in 6. The number of reoperations was similar in both groups. Clinical outcome, as assessed with 2 ankle scores and 2 questionnaires, showed good results and was similar at the latest follow-up.
  
  
  CONCLUSIONS
  The outcome was similar in the postfracture and instability groups and also similar to that reported in series including a case mix of patients. In contrast to earlier reports, preoperative frontal plane deformity in this series was not identified as a risk factor for failure.
authors.affiliation: Department of Orthopaedic Surgery , Slotervaart Hospital , Amsterdam.
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Nieuwe Weme
authors.forename: Guido
authors.initials: G
authors.lastname: van Solinge
authors.forename: Job
authors.initials: J
authors.lastname: N Doornberg
authors.forename: Inger
authors.initials: I
authors.lastname: Sierevelt
authors.forename: Daniël
authors.initials: D
authors.lastname: Haverkamp
authors.forename: H Cornelis
authors.initials: HC
authors.lastname: Doets
mesh_terms: D000328:Adult; D000368:Aged; D064386:Ankle Fractures / Q000150:complications; D000843:Ankle Joint / Q000601:surgery*; D001168:Arthritis / Q000209:etiology* / Q000601:surgery*; D058737:Arthroplasty, Replacement, Ankle / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000150:complications / Q000209:etiology; D053208:Kaplan-Meier Estimate; D017844:Lateral Ligament, Ankle / Q000293:injuries; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012086:Reoperation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications*