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05-05-2024 | Rheumatoid Arthritis | Original Article

Stabilizing effect of total ankle arthroplasty by distal translation and lateralization of talus in varus ankle deformity

Authors: T. Noguchi, M. Hirao, G. Okamura, Y. Etani, K. Ebina, H. Tsuboi, A. Goshima, A. Miyama, K. Takahi, K. Takami, S. Tsuji, S. Okada, J. Hashimoto

Published in: MUSCULOSKELETAL SURGERY

Abstract

Background

In end-stage arthritis indicated for total ankle arthroplasty (TAA), full-thickness cartilage damage, subchondral bone defect/shaving, and fluttering of the talar dome occur, shortening the distance between the tibial and talar insertions of ligaments and leading to laxity of ligaments surrounding the ankle joint. Under such conditions, medial ligaments (including the deltoid ligament) would not be expected to function properly. To stabilize the ankle joint during the stance phase, medial ligament function under tension is important. This study therefore examined whether TAA contributes to lengthening of the medial tibio-talar joint as evaluated radiographically, as a preferable method for achieving tensile effects on medial ligaments.

Materials and methods

Twenty-four feet with end-stage varus deformity of the ankle joint that underwent TAA were retrospectively investigated, excluding cases with any malleolar osteotomy or fracture. Distance between proximal and distal insertions of medial ligaments, lateralization of the talus, and talar tilt angle under valgus/varus stress condition were evaluated pre- and postoperatively.

Results

Distance between proximal and distal insertions of medial ligaments was significantly elongated after TAA. At the same time, the talus showed significant lateralization. Furthermore, talar tilt under valgus/varus stress conditions was also significantly reduced after TAA.

Conclusion

TAA affects distal translation and lateralization of the talus in cases of varus ankle deformity. These effects might contribute to re-providing tensile force on lax medial ligaments, improving ligament function.

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Title: Stabilizing effect of total ankle arthroplasty by distal translation and lateralization of talus in varus ankle deformity
Authors: T. Noguchi
M. Hirao
G. Okamura
Y. Etani
K. Ebina
H. Tsuboi
A. Goshima
A. Miyama
K. Takahi
K. Takami
S. Tsuji
S. Okada
J. Hashimoto
Publication date: 05-05-2024
Publisher: Springer Milan
Keyword: Rheumatoid Arthritis
Published in: MUSCULOSKELETAL SURGERY
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-024-00820-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Stabilizing effect of total ankle arthroplasty by distal translation and lateralization of talus in varus ankle deformity

Abstract

Background

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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