Muscle atrophy in ankle osteoarthritis and its rehabilitation with total ankle arthroplasty

Valderrábano, Víctor; Tscharner, Vinzenz von; Nigg, Benno M.; Göpfert, Beat; Hintermann, Beat; Dick, W.; Frank, Clare

doi:10.1016/s0021-9290(06)83720-6

Cited by 2 publications

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“…Immobilization and protection time is usually also markedly shorter for TAR. Thus, loss of articular and muscular function may be less than that after ankle arthrodesis [ 78 – 80 ]. Second, TAR may better restore hindfoot biomechanics, resulting in less gait adoptions and functional impairment [ 81 ].…”

Section: Discussionmentioning

confidence: 99%

Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients

Hintermann

Knupp

Zwicky

et al. 2012

Journal of Aging Research

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End-stage osteoarthritis of the ankle is a disabling problem, particularly in elderly patients who experience an overall loss of mobility and functional impairment and who then need compensatory adaption. Ankle arthrodesis, which has been demonstrated to provide postoperative pain relief and hindfoot stability, leaves the patient with a stiff foot and gait changes. For elderly patient, these changes may be more critical than generally believed. Additionally, the long duration of healing and rehabilitation process needed for ankle arthrodesis may be problematic in the elderly. In contrast to ankle arthrodesis, total ankle replacement has significant advantages including a less strenuous postoperative rehabilitation and preservation of ankle motion which supports physiological gait. Recently, total ankle replacement has evolved as a safe surgical treatment in patients with end-stage ankle osteoarthritis with reliable mid- to long-term results. Total ankle replacement needs less immobilization than arthrodesis and does allow for early weight-bearing and should be considered as a treatment option of first choice in many elderly patients with end-stage osteoarthritis of the ankle, especially in elderly patients with lower expectations and physical demands.

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Section: Discussionmentioning

confidence: 99%

Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients

Hintermann

Knupp

Zwicky

et al. 2012

Journal of Aging Research

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“…Currently, therapeutic success after TAR is primarily assessed on clinical, radiographic and questionnaire outcomes [3,6]. Recent publications have indicated that function is not J o u r n a l P r e -p r o o f systematically restored, even if clinical and radiographic parameters show improvement [3,7].…”

Section: Introductionmentioning

confidence: 99%

Impact of foot modeling on the quantification of the effect of total ankle replacement: A pilot study

et al. 2021

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Muscle atrophy in ankle osteoarthritis and its rehabilitation with total ankle arthroplasty

Cited by 2 publications

References 0 publications

Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients

Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients

Impact of foot modeling on the quantification of the effect of total ankle replacement: A pilot study

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