Open AccessFirst-generation total ankle arthroplasty
Author(s) -
Carolina Tiago Afonso,
António José Pereira de Andrade,
Miguel Martins Pereira Pinto de Freitas,
Afonso Ruano
Publication year - 2019
Publication title -
scientific journal of the foot and ankle
Language(s) - English
Resource type - Journals
eISSN - 2595-1467
pISSN - 2595-1459
DOI - 10.30795/scijfootankle.2019.v13.976
Subject(s) - arthrodesis , medicine , ankle , arthroplasty , orthopedic surgery , implant , ankle replacement , osteolysis , surgery , alternative medicine , pathology
Ankle prostheses are a source of disagreement within the orthopedic community due to the poor initial results. The lack of alternatives to arthrodesis has promoted the evolution of arthroplasties. Biomechanical compatibility has been improved, new surgical techniques and instrumentation devices have been developed, and biological techniques for fixation of the various components have been introduced. The first-generation arthroplasty prostheses introduced in the 1970s were cemented and had a stable constrictive design, but because they required extensive bone resection for implantation, they failed due to loosening and extensive osteolysis. We report a case of left total ankle arthroplasty performed in 1980 that is still “in situ”. Based on the bibliographic research performed, this case seems to represent the longest-lasting implant reported to date. Level of Evidence V; Therapeutic Studies; Expert Opinion.