The bright future for total ankle replacements

Imaging of Ankle Replacements

“…2) is the most common device used in the United States and was the first device to receive approval by the U.S. Food and Drug Administration (FDA) prior to 2006. 5,11,12 Since that time, new devices have been approved by the FDA including the Salto-Talaris, INBONE, and STAR systems. 12 Although these implants are approved for use with cement fixation, they are almost universally used off-label and feature porous components for fixation by bone ingrowth at the tibial and talar surfaces.…”

“…5,11,12 Since that time, new devices have been approved by the FDA including the Salto-Talaris, INBONE, and STAR systems. 12 Although these implants are approved for use with cement fixation, they are almost universally used off-label and feature porous components for fixation by bone ingrowth at the tibial and talar surfaces. [6][7][8] Fig .…”

“…3), with a unique modular anchoring system for fixation of the tibial component. 8,12 This system can be adjusted to optimize bone contact in certain patients including those with fracture deformities. The INBONE system uses a proprietary guidance system to aid in proper intraoperative alignment of the components.…”

Management of End-Stage Ankle Arthritis: Cost-Utility Analysis Using Direct and Indirect Costs

“…However, newer implants have demonstrated longevity, and there is increasing evidence that total ankle replacement is clinically and functionally superior to ankle fusion 4 . Because the benefits of the surgical alternatives for ankle arthritis are less well understood than those of the surgical options for hip and knee arthritis 5 , patients with ankle arthritis may not receive health-care insurance coverage for surgical intervention or may be required by payers to try prolonged conservative measures prior to undergoing surgical interventions that are costly but more effective.…”