Skip to main content
Journal cover image

Outcomes following total talus replacement: A systematic review.

Publication ,  Journal Article
Johnson, LG; Anastasio, AT; Fletcher, AN; Hendren, S; Adams, SB
Published in: Foot Ankle Surg
December 2022

INTRODUCTION: The treatment of pathologic changes to the talus and surrounding joints presents a unique challenge to the foot and ankle surgeon. The purpose of this systematic review is to summarize the literature for unconstrained (no surrounding fusion or replacement) total talus replacement (TTR) and evaluate whether it leads to improved clinical and radiographic outcomes and appropriate safety metrics. METHODS: Concepts of talus and arthroplasty were searched in MEDLINE, Embase, CINAHL Complete, and Scopus from 2005 to 2021. Inclusion Criteria were 1) previous trauma to the talus, 2) post-traumatic or degenerative arthritis to the tibiotalar joint, 3) avascular necrosis of talus, 4) multiple failed prior interventions, and 5) inflammatory arthropathy to tibiotalar joint. Manuscripts in non-English languages or those with concomitant total ankle arthroplasty or revision arthroplasty were excluded. RESULTS: Twenty-two studies of 191 patients (196 ankles) were included. Nineteen studies utilized third generation implants, two studies used first generation (n = 9) and one study used second generation implants (n = 14) made largely of ceramic (n = 84), cobalt chrome (n = 49), or titanium (n = 24). Patient-reported outcome measures were favorable in all described categories (Table 4) with ten studies reporting an average postoperative change of + 2.92° of dorsiflexion and - 2.05° plantarflexion at final follow-up. The most common adverse outcome was adjacent joint arthritis with five studies reporting some degree of postoperative, degenerative changes in the surrounding joints (n = 52). CONCLUSION: TTR is an alternative to joint sacrificing procedures to maintain range of motion through the tibiotalar joint and allow for maintenance of normal foot and ankle biomechanics. Despite promising early- and mid-term outcomes, future, prospective, randomized research should be conducted to better assess survivorship and complication rates with direct comparison of TTR to existing forms of salvage options for advanced talar pathology. LEVEL OF EVIDENCE: III, Systematic Review of Level IV Studies.

Duke Scholars

Published In

Foot Ankle Surg

DOI

EISSN

1460-9584

Publication Date

December 2022

Volume

28

Issue

8

Start / End Page

1194 / 1201

Location

France

Related Subject Headings

  • Talus
  • Retrospective Studies
  • Range of Motion, Articular
  • Prospective Studies
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Ankle
  • Arthritis
  • Ankle Joint
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Johnson, L. G., Anastasio, A. T., Fletcher, A. N., Hendren, S., & Adams, S. B. (2022). Outcomes following total talus replacement: A systematic review. Foot Ankle Surg, 28(8), 1194–1201. https://doi.org/10.1016/j.fas.2022.08.010
Johnson, Lindsey G., Albert T. Anastasio, Amanda N. Fletcher, Stephanie Hendren, and Samuel B. Adams. “Outcomes following total talus replacement: A systematic review.Foot Ankle Surg 28, no. 8 (December 2022): 1194–1201. https://doi.org/10.1016/j.fas.2022.08.010.
Johnson LG, Anastasio AT, Fletcher AN, Hendren S, Adams SB. Outcomes following total talus replacement: A systematic review. Foot Ankle Surg. 2022 Dec;28(8):1194–201.
Johnson, Lindsey G., et al. “Outcomes following total talus replacement: A systematic review.Foot Ankle Surg, vol. 28, no. 8, Dec. 2022, pp. 1194–201. Pubmed, doi:10.1016/j.fas.2022.08.010.
Johnson LG, Anastasio AT, Fletcher AN, Hendren S, Adams SB. Outcomes following total talus replacement: A systematic review. Foot Ankle Surg. 2022 Dec;28(8):1194–1201.
Journal cover image

Published In

Foot Ankle Surg

DOI

EISSN

1460-9584

Publication Date

December 2022

Volume

28

Issue

8

Start / End Page

1194 / 1201

Location

France

Related Subject Headings

  • Talus
  • Retrospective Studies
  • Range of Motion, Articular
  • Prospective Studies
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Ankle
  • Arthritis
  • Ankle Joint
  • 3202 Clinical sciences