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Total ankle arthroplasty offers a reasonable alternative to ankle arthrodesis in carefully selected patients.
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It is debatable whether rheumatoid arthritis patients have better outcomes compared with those who have ankle arthroplasty for either primary osteoarthritis or post-traumatic arthritis.
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Aseptic loosening and infection are the most common complications requiring revision.
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It is worth noting that some of the best survival rates are seen in the surgeon-designer case series.
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The uncemented mobile or fixed bearing prostheses have better outcomes compared with their older counterparts.
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There is no convincing evidence to suggest superiority of one design over another among the currently available prostheses.
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Ankle arthroplasty surgery has a steep learning curve; the prosthesis choice should be driven by the surgeon’s training and experience.
Cite this article: EFORT Open Rev 2018;3:391-397. DOI: 10.1302/2058-5241.3.170029
