Update: endoprosthetics on the ankle joint

The ankle joint has to bear the entire body weight on a relatively small joint surface. Incongruities, instabilities and deformities lead to painful arthrosis and considerable restrictions in everyday life. For many years, arthrodesis has proven to be the gold standard for end stage arthrosis; howev...

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Bibliographic Details
Published in:Orthopädie (Heidelberg, Germany) Germany), 2023-02, Vol.52 (2), p.165
Main Authors: Schwarz, T, Greimel, F, Grifka, J, Leiß, F
Format: Article
Language:ger
Subjects:
Ankle Joint - surgery
Arthroplasty, Replacement - methods
Humans
Joint Diseases - surgery
Joint Prosthesis
Osteoarthritis - surgery
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Summary:The ankle joint has to bear the entire body weight on a relatively small joint surface. Incongruities, instabilities and deformities lead to painful arthrosis and considerable restrictions in everyday life. For many years, arthrodesis has proven to be the gold standard for end stage arthrosis; however, considering modern endoprostheses for the ankle joint it is no longer appropriate to offer only arthrodesis. The very good results of the 3rd generation 3‑component prostheses and the 4th generation 2‑component prostheses show how much the surgical treatment options for the ankle joint are currently changing. The simplified implantation techniques enable access to arthroplasty of the ankle joint for a broader spectrum of surgeons and explain the increasing implantation rates in recent years. Decisive for postoperative success are correct planning with knowledge of the leg axes and foot position, correct patient selection and exact surgical placement of the components.
ISSN:2731-7153
DOI:10.1007/s00132-022-04344-4