Talar component subsidence correlates with periprosthetic osteolysis after total ankle arthroplasty

PurposeThis study aimed to investigate the relationship between periprosthetic osteolysis around the talar component and the amount of talar component subsidence after total ankle arthroplasty (TAA).MethodsThis study included forty patients who underwent TAA with a mean follow-up of 67.5 +/- 17.0 months. The patients were divided into two groups based on the amount of osteolysis around the talar component, as measured by computed tomography at the latest clinic visit: none to 2 mm (N group, n = 20) and greater than or equal to 2 mm (O group, n = 20). The average amount of talar component subsidence, clinical outcomes, and complications were compared between the two groups. In the O group, the correlation between osteolysis and talar component subsidence was evaluated.ResultsThe average talar component subsidence was significantly different between the N (0.22 +/- 0.94 mm) and O groups (2.12 +/- 2.28 mm). Five out of 20 ankles in the O group required revision surgery owing to talar component subsidence. The Japanese Society for Surgery of the Foot scores in the N and O groups were significantly different: 93.5 +/- 7.7 and 85.3 +/- 15.4, respectively. In the O group, we found that osteolysis tended to develop on the lateral side, and the amount of osteolysis was positively correlated with the talar component subsidence (r = 0.59, P = .007).ConclusionIn the O group, a positive correlation between osteolysis and talar component subsidence was found, and five patients required revision surgery.

Automated summary

The study aimed to investigate the relationship between periprosthetic osteolysis around the talar component and talar component subsidence after total ankle arthroplasty. The results showed a positive correlation between osteolysis and talar component subsidence, and some patients required revision surgery.