title: The Scandinavian Total Ankle Replacement and the ideal biomechanical requirements of ankle replacements.
abstract: The complex anatomy of the articular bone surfaces, ligaments, tendon attachments and muscles makes the ankle joint difficult to replicate in prosthetic replacements. Ever since the early 1970s, which saw the dawn of the first total ankle replacements, there have been numerous other attempts at replicating the joint, often with poor clinical outcomes. The anatomy of the ankle is discussed, followed by evidence of the normal ankle biomechanics and the ideal requirements of an ankle replacement. We focus on the Scandinavian Total Ankle Replacement and evaluate whether these requirements have been met.
authors.affiliation: Conquest Hospital, East Sussex TN37 7RD, United Kingdom.
authors.forename: Shibby
authors.initials: S
authors.lastname: Robati
authors.affiliation: Conquest Hospital, East Sussex TN37 7RD, United Kingdom.
authors.forename: Alan
authors.initials: A
authors.lastname: Salih
authors.affiliation: Frimley Park Hospital, Surrey GU16 7UJ, United Kingdom.
authors.forename: Koushik
authors.initials: K
authors.lastname: Ghosh
authors.affiliation: Queen Elizabeth the Queen Mother Hospital, Margate CT9 4AN, United Kingdom.
authors.forename: Parthiban
authors.initials: P
authors.lastname: Vinayakam
keywords: Ankle; Arthroplasty; Biomechanics; STAR, Scandinavian Total Ankle Replacement; TAR, total ankle replacement; Total ankle replacement