Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients
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 hindfoo...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Journal of Aging Research |
| Online Access: | http://dx.doi.org/10.1155/2012/345237 |
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| author | Beat Hintermann Markus Knupp Lukas Zwicky Alexej Barg |
| author_facet | Beat Hintermann Markus Knupp Lukas Zwicky Alexej Barg |
| author_sort | Beat Hintermann |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-d66455799a894c49a60b380ae301b805 |
| institution | Kabale University |
| issn | 2090-2204 2090-2212 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Aging Research |
| spelling | doaj-art-d66455799a894c49a60b380ae301b8052025-02-03T06:44:18ZengWileyJournal of Aging Research2090-22042090-22122012-01-01201210.1155/2012/345237345237Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly PatientsBeat Hintermann0Markus Knupp1Lukas Zwicky2Alexej Barg3Clinic of Orthopaedic Surgery, Kantonsspital Liestal, 4410 Liestal, SwitzerlandClinic of Orthopaedic Surgery, Kantonsspital Liestal, 4410 Liestal, SwitzerlandClinic of Orthopaedic Surgery, Kantonsspital Liestal, 4410 Liestal, SwitzerlandClinic of Orthopaedic Surgery, Kantonsspital Liestal, 4410 Liestal, SwitzerlandEnd-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.http://dx.doi.org/10.1155/2012/345237 |
| spellingShingle | Beat Hintermann Markus Knupp Lukas Zwicky Alexej Barg Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients Journal of Aging Research |
| title | Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients |
| title_full | Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients |
| title_fullStr | Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients |
| title_full_unstemmed | Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients |
| title_short | Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients |
| title_sort | total ankle replacement for treatment of end stage osteoarthritis in elderly patients |
| url | http://dx.doi.org/10.1155/2012/345237 |
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