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- W2183634165 abstract "Withanine-timeslowerincidenceof� symptomaticarthritis,� theanklejointenjoysa� uniquebiologicresiliencetothedegenerative� processthatroutinelyplaguesthehipandknee� articulations 1-3 .�Thereasonforthisdiscrepancyis� notfullyunderstoodandseemscounterintuitive,� especiallysincewhensimilarloadsareapplied,� theanklecontactstresses�(focusedforcesonone� articulararea)�aremuchlargerthanthosefound� inthehipandknee.��Nonetheless,�thetibiotalar� jointisstillsusceptibletoarthropathy,�mostlyin� theformofpost-traumaticarthritis. Anklefusionhashistoricallybeenpresumed� tobethegoldstandardprocedureforendstage� symptomatictibiotalararthritis.� � Accordingly,� ampleevidenceexistsdemonstratingthatankle� arthrodesisprovidesreliablereliefofpainand� highdegreeofpatientsatisfaction 4-6 .� Onthe� otherhand,�earlyexperienceintheUnitedStates� withtotalanklereplacement� (TAR)� wasmet� withunacceptablefailureandcomplicationrates� inthe�1970'sand�80'ssuchthattheprocedure� waslargelyabandoned.��Consternationtherefore� existswithinthegeneralorthopediccommunity� astowhyanklearthroplastyhasseena�new- found�interestwithinthepastdecade.�� Whileitisdifficulttopinpointtheexact� etiology,� theearlyfailureoftotalankle� replacementinthiscountryisthoughttohave� resultedfromtheuseofhighlyconstrained� cementedimplantswithpoorsensitivityto� managingthefragilesofttissueenvelopearound� theankle.� � Startinginthe� 1990's,� twoimplant� designs� (Buechel-PappasTAR,� Endotec,� South�" @default.
- W2183634165 created "2016-06-24" @default.
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- W2183634165 date "2010-01-01" @default.
- W2183634165 modified "2023-09-26" @default.
- W2183634165 title "Total Ankle Replacement: Where Do We Stand?" @default.
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