Respective indications of talocrural arthrodesis and ankle prosthesis with different situations in rheumatoid arthritis

  • K. Tillmann
  • B. Fink


When systemical and local conservative treatment fails in the case of rheumatoid affection of the ankle joint, synovectomy should be the first consideration and option. The functional results of a timely and technically correct synovectomy cannot be equalized by any reconstructive surgery, neither by arthrodesis nor by endoprosthetic replacement. Even late synovectomies (LED-grade 2–3) may render acceptable results, preserving any possibility of retreat in case of failure: this is important especially for young patients (33).


Ankle Joint Total Ankle Arthroplasty Rheumatoid Patient Ankle Arthrodesis Talar Dome 
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© Springer Verlag France 2006

Authors and Affiliations

  • K. Tillmann
    • 1
  • B. Fink
    • 2
  1. 1.Arzt für Orthopaëdie RheumaklinikBad Bramstedt HolstGermany
  2. 2.Klinik und Polichlinik für OrthopädieUniversität Hazmburg-EppendorfHamburgGermany

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