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H. Cornelis Doets, MD and Rob G.H.H. Nelissen, MD, PhD

Mobile-bearing total ankle arthroplasty (TAA) is a valid treatment option for the rheumatoid ankle if proper indications are used. Aseptic loosening and persistent deformity are the most important modes of failure. Unconstrained TAA with the use of a three-component, mobile-bearing prosthesis has distinct mechanical and kinematical advantages as there is full congruency of the articulating surfaces without restriction of rotational motion. Because of the technical difficulties that can be encountered during surgery, TAA should be restricted to the experienced ankle surgeon.

• Indications
• Contraindications
• Preoperative Planning
• Benefits of mobile-bearing design
• Avoiding Complications
• Postoperative Protocol

See the Corresponding JBJS Article:

H. Cornelis Doets, Ronald Brand, and Rob G.H.H. Nelissen

Total Ankle Arthroplasty in Inflammatory Joint Disease with Use of Two Mobile-Bearing Designs
J. Bone Joint Surg. Am., Jun 2006; 88: 1272 - 1284. [Abstract] [Full Text]

• Catalog Number: 1028
• VJO Publication Date: December 2006
• Total Run Time: 39:54

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