Archives of Orthopaedic and Trauma Surgery

, Volume 134, Issue 10, pp 1361–1368 | Cite as

Failure modes for total ankle arthroplasty: a statistical analysis of the Norwegian Arthroplasty Register

  • Patrick SadoghiEmail author
  • Grant Roush
  • Norbert Kastner
  • Andreas Leithner
  • Christof Sommitsch
  • Tarun Goswami
Orthopaedic Surgery



It is imperative to understand the most common failure modes of total ankle arthroplasty (TAA) to appropriately allocate the resources, healthcare costs, enhancing surgical treatment methods, and improve design and longevity of the implant. The objective of this study was to investigate the primary mode or modes of failure (Loose talar component, loose tibial component, dislocation, instability, misalignment, deep infection, Fracture (near implant), Pain, defect polyethylene (PE), other, and missing information) of TAA implants, so these failure mode/modes can be targeted for future improvement.


The Norwegian Total Hip Arthroplasty Register 2008 was chosen as the primary source of data since the register have been in existence for 20 years and also gives more specific failure modes than other registries. Tukey–Kramer method was applied to Norwegian Arthroplasty Register.


After the application of the Tukey–Kramer method, it is evident that there is no significant difference between any of the failure modes that are pertinent to the ankle. However, there is significant evidence that the number of ankle arthroplasties are increasing with time.


Since there is no statistical evidence showing which failure mode contributes most to revision surgeries, it is concluded that more information/data is needed to further investigate failure modes in ankle arthroplasties. Since the numbers of such surgeries are increasing, sufficient data should become available in time.


Total ankle arthroplasty Failure mode Statistical analysis Register data 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Patrick Sadoghi
    • 1
    Email author
  • Grant Roush
    • 2
  • Norbert Kastner
    • 1
  • Andreas Leithner
    • 1
  • Christof Sommitsch
    • 3
  • Tarun Goswami
    • 2
    • 3
  1. 1.Department of Orthopaedic SurgeryMedical University of GrazGrazAustria
  2. 2.Biomedical Industrial and Human Factors EngineeringWright State UniversityDaytonUSA
  3. 3.Faculty of Mechanical Engineering and Economic SciencesTechnical University of GrazGrazAustria

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