The Journal of Bone and Joint Surgery, Vol 66, Issue 3 340-343, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc
Total ankle replacement in rheumatoid arthritis
PF Lachiewicz, AE Inglis and CS Ranawat
The indications for total ankle-replacement arthroplasty are controversial.
Some preliminary experience with its use in patients with rheumatoid
arthritis has been disappointing. However, in our fifteen single-axis
arthroplasties, fourteen of the Mayo and one of the Buchholz type, after an
average follow-up of thirty-nine months seven ankles were rated excellent
and eight, good. The relief of pain was gratifying in all of the patients,
only four patients having residual slight pain with starting activity. The
average gain in the range of motion was 9 degrees. No patient had loosening
that required reoperation, although radiolucent lines were seen in eleven
ankles. Thirteen of the fifteen ankles had moderate to severe arthritic
changes in the talonavicular, subtalar, or other intertarsal joints.