--- title: "Osteoarthritis of the ankle: the role of arthroplasty. | Sutter Health" description: "To limit the number of complications and improve clinical outcome of total ankle arthroplasty, careful patient selection and surgeon experience are important." url: "https://www.sutterhealth.org/research/publications/arthroplasty-ankle-osteoarthritis-1055312979" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Osteoarthritis of the ankle: the role of arthroplasty. # Osteoarthritis of the ankle: the role of arthroplasty. Chou LB, Coughlin MT, Hansen S Jr, Haskell A, Lundeen G, Saltzman CL, & Mann RA. _J Am Acad Orthop Surg. 16(5):249-59._ 2008-05-01 ## Abstract Total ankle arthroplasty was developed to reduce pain and retain motion of the ankle joint in patients with osteoarthritis. The ankle joint has unique, complex anatomic and biomechanical characteristics that must be considered in a successful total ankle arthroplasty prosthesis. Initial designs from the 1960s to the 1970s had many failures. Current designs use two or three components, and recent reports on total ankle arthroplasty show consistent good to excellent intermediate clinical results, with up to 90% decreased pain and high patient satisfaction. The follow-up time of these studies is limited, however, and long-term studies with 10- to 15-year follow-ups are needed. Also, a wide variety of complications has been reported, including osteomyelitis and osteolysis. To limit the number of complications and improve clinical outcome of total ankle arthroplasty, careful patient selection and surgeon experience are important. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/18460685) ![Andrew Haskell, M.D.](https://dyn.mktgcdn.com/p/e19Z0QwiEJVIawTe_Uey_VlyYexupaSsdn87lO6XoJk/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Andrew Haskell, M.D. Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/andrew-haskell-md-1049681101) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Lapidus arthrodesis.](https://www.sutterhealth.org/research/publications/lapidus-arthrodesis-1055312388) Hyer CF, Saxena A, Didomenico L. J Foot Ankle Surg. 50(6):784-5; author reply 785. doi: 10.1053/j.jfas.2011.09.014. 2011 Nov 01 - Publication ### [Medial locking plate versus screw fixation for fixation of the Ludloff osteotomy.](https://www.sutterhealth.org/research/publications/lock-plate-vs-screw-ludloff-osteotomy-1055312352) Saxena A, St Louis M. J Foot Ankle Surg. 52(2):153-7. doi: 10.1053/j.jfas.2012.11.005. Epub 2013 Jan 16. 2013 Mar 01 - Publication ### [Treatment of medial tibial stress syndrome with radial soundwave therapy in elite athletes: current evidence, report on two cases, and proposed treatment regimen.](https://www.sutterhealth.org/research/publications/medial-tibial-stress-syndrome-radial-soundwave-therapy-1055312476) Saxena A, Fullem B, Gerdesmeyer L. J Foot Ankle Surg. 2017 Sep - Oct;56(5):985-989. doi: 10.1053/j.jfas.2017.06.013. Review. 2017 Sep 01 - Publication ### [Safe zone for placement of talar screws when fusing the ankle with an anterior plating system.](https://www.sutterhealth.org/research/publications/place-talar-screws-ankle-fused-anterior-plating-1055312984) Haskell A, Dedini R, Dini M. Foot Ankle Int. 36(6):730-5. doi: 10.1177/1071100715571440. Epub 2015 Feb 9. 2015 Jun 01 - Publication ### [Stabilization of the fourth metatarsal-cuboid lateral Lisfranc injury: early results of an innovative technique using suture anchors.](https://www.sutterhealth.org/research/publications/suture-anchors-to-stabilize-lisfranc-injury-1055312372) Saxena A, Hofer D. J Foot Ankle Surg. pii: S1067-2516(17)30537-9. doi: 10.1053/j.jfas.2017.08.024. \[Epub ahead of print\] 2017 Dec 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/arthroplasty-ankle-osteoarthritis-1055312979#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Osteoarthritis of the ankle: the role of arthroplasty."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/arthroplasty-ankle-osteoarthritis-1055312979#medicalscholarlyarticle","name":"Osteoarthritis of the ankle: the role of arthroplasty.","headline":"Osteoarthritis of the ankle: the role of arthroplasty.","abstract":"Total ankle arthroplasty was developed to reduce pain and retain motion of the ankle joint in patients with osteoarthritis. The ankle joint has unique, complex anatomic and biomechanical characteristics that must be considered in a successful total ankle arthroplasty prosthesis. Initial designs from the 1960s to the 1970s had many failures. Current designs use two or three components, and recent reports on total ankle arthroplasty show consistent good to excellent intermediate clinical results, with up to 90% decreased pain and high patient satisfaction. The follow-up time of these studies is limited, however, and long-term studies with 10- to 15-year follow-ups are needed. Also, a wide variety of complications has been reported, including osteomyelitis and osteolysis. To limit the number of complications and improve clinical outcome of total ankle arthroplasty, careful patient selection and surgeon experience are important.","description":"To limit the number of complications and improve clinical outcome of total ankle arthroplasty, careful patient selection and surgeon experience are important.","keywords":["Disease Management","Musculoskeletal Disorders"],"datePublished":"2008-05-01","url":"https://www.sutterhealth.org/research/publications/arthroplasty-ankle-osteoarthritis-1055312979","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"18460685"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/18460685/"],"isPartOf":{"@type":"Periodical","name":"J Am Acad Orthop Surg"},"author":[{"@type":"Person","name":"Chou LB"},{"@type":"Person","name":"Coughlin MT"},{"@type":"Person","name":"Hansen S Jr"},{"@type":"Person","@id":"https://www.sutterhealth.org/research/investigators/andrew-haskell-md-1049681101","name":"Haskell A","url":"https://www.sutterhealth.org/research/investigators/andrew-haskell-md-1049681101"},{"@type":"Person","name":"Lundeen G"},{"@type":"Person","name":"Saltzman CL"},{"@type":"Person","name":"Mann RA"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Musculoskeletal Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Musculoskeletal+Disorders%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/arthroplasty-ankle-osteoarthritis-1055312979","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/arthroplasty-ankle-osteoarthritis-1055312979#breadcrumblist"}}} ```