Review Article

Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review

Table 2

Summary of the included studies.

StudyStudy DesignPopulationInterventionComparatorOutcome measures (primary in bold)Follow-up periodSignificant results

Schuh et al., 2012 [26]
()
Retrospective comparative study—level IIIAdults with ankle osteoarthritis who have failed conservative treatmentHINTEGRA prosthesis—uncemented 3-component TAR
()
Arthrodesis with 3 * cannulated screws
()
Patient satisfaction
Sports and activity questionnaire
Halasi ankle score
UCLA activity score
AOFAS
34.5 monthsNo significant results

Esparragoza et al., 2011 [27]
()
Prospective comparative study—level IIAdult primary or secondary ankle arthritis Ankle Evolution System prosthesis—uncemented 3-component TAR ()Open arthrodesis with bone graft and either external fixator, screw fixation, or retrograde calcaneal nail ()AOFAS
SF-36
Complications
24 monthsImproved results in TAR group:
AOFAS ()
SF-36 ()

Krause et al., 2011 [28]  
()
Retrospective comparative study—level IIIAdults with primary or secondary arthritis, revision of TAR to AA included TAR with one of four uncemented prostheses:
agility (two components), mobility (three components), STAR, HINTEGRA ()
Open or arthroscopic arthrodesis
()
AOS
COFAS classification
Complications
Radiographic
Mean 37 monthsHigher complication rate with TAR 54% versus 26% ()
Higher severity of COFAS in TAR group

Saltzman et al., 2010 [29]
()
Retrospective comparative study—level IIIAdult posttraumatic or primary ankle osteoarthritisSTAR prosthesis—uncemented 3-component TAR
()
Open arthrodesis with external fixator, plate fixation, or screw fixation ()AOS
SF-36
Complications
Pre and postoperative Radiographic
4.2 yearsImproved results in TAR group:
Pain component AOS ()
SF-36 mental component ()
Higher complication in TAR versus AA