Reflections on Presurgical and Postsurgical Gait Mechanics After 50 Years of Total Ankle Arthroplasty and Perspectives on the Next Decade of Advancement

Robin M Queen; Daniel Schmitt

doi:10.1016/j.fcl.2022.10.005

Reflections on Presurgical and Postsurgical Gait Mechanics After 50 Years of Total Ankle Arthroplasty and Perspectives on the Next Decade of Advancement

Foot Ankle Clin. 2023 Mar;28(1):99-113. doi: 10.1016/j.fcl.2022.10.005. Epub 2023 Jan 2.

Authors

Robin M Queen¹, Daniel Schmitt²

Affiliations

¹ Department of Biomedical Engineering and Mechanics, Kevin P. Granata Biomechanics Lab, Blacksburg, VA, USA; Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA. Electronic address: rmqueen@vt.edu.
² Department of Evolutionary Anthropology, Duke University, Durham, NC 27708, USA.

PMID: 36822691
DOI: 10.1016/j.fcl.2022.10.005

Abstract

Although not the most prevalent form of lower limb pathology, ankle arthritis is one of the most painful and life-limiting forms of arthritis. Developing from overuse and various traumatic injuries, the effect of ankle arthritis on gait mechanics and effective treatment options for ankle arthritis remain an area of extensive inquiry. Although nonsurgical options are common (physical therapy, limited weight-bearing, and steroidal injections), surgical options are popular with patients. Fusion remains a common approach to stabilize the joint and relieve pain. However, starting in the early 1970s, total ankle arthroplasty was proposed as an alternative to fusion.

Keywords: Gait; Recovery; Total ankle replacement.

Publication types

Review

MeSH terms

Ankle / surgery
Ankle Joint / surgery
Arthritis* / surgery
Arthroplasty, Replacement, Ankle*
Gait
Humans
Treatment Outcome