Current Reviews in Musculoskeletal Medicine

, Volume 6, Issue 4, pp 279–284 | Cite as

Total ankle arthroplasty in end-stage ankle arthritis

  • Constantine A. DemetracopoulosEmail author
  • James P. Halloran
  • Paul Maloof
  • Samuel B. AdamsJr
  • Selene G. Parekh
Foot and Ankle (SG Parekh, Section Editor)


Recent advancements in ankle prosthesis design, combined with improved surgical techniques for correction of coronal plane deformity and ligamentous balancing, have led to a resurgence of interest in total ankle arthroplasty for the treatment of end-stage ankle arthritis. Although ankle arthrodesis has long been considered the gold standard treatment for ankle arthritis, recent studies have shown that patients who undergo total ankle replacement have equivalent pain relief and improved function, when compared with patients with an ankle fusion. The purpose of this review is to summarize the indications, advantages, disadvantages, and clinical outcomes of some of the more commonly used modern prostheses for total ankle arthroplasty.


Ankle arthritis Total ankle arthroplasty Total ankle replacement Mobile bearing Fixed bearing 


Compliance with Ethics Guidelines

Conflict of Interest

Constantine A. Demetracopoulos, James P. Halloran, Paul Maloof, Samuel B. Adams, Jr., and Selene G. Parekh declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Constantine A. Demetracopoulos
    • 1
    Email author
  • James P. Halloran
    • 2
  • Paul Maloof
    • 3
  • Samuel B. AdamsJr
    • 4
  • Selene G. Parekh
    • 5
  1. 1.Department of Orthopaedic SurgeryDuke University Medical CenterDurhamUSA
  2. 2.Department of Orthopaedic SurgeryDuke University Medical CenterDurhamUSA
  3. 3.Department of Orthopaedic SurgeryDuke University Medical CenterDurhamUSA
  4. 4.Department of Orthopaedic SurgeryDuke University Medical CenterDurhamUSA
  5. 5.Department of Orthopaedic Surgery, North Carolina Orthopaedic ClinicDuke University Medical CenterDurhamUSA

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