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History of Total Ankle Replacement in North America

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Primary and Revision Total Ankle Replacement

Abstract

Attempts at total ankle replacement (TAR) have existed for at least 55 years. Time has essentially eliminated constrained, cemented, first-generation prostheses. Although some two-component, more anatomical designs are still used and with varying success, it seems that three-component mobile-bearing ankle prostheses are the predominant design utilized in Europe and in North America despite two-component designs being more prevalent. Not only did the prostheses change over the years but also the patients and surgeons. Surgeons specialize in foot and ankle surgery, improving their surgical outcomes and expanding the indications for TAR, in technically demanding, “complex” ankles. The future will set the limits, as enthusiasm over bright ideas was often followed by skepticism. We provide a thorough review on the history of TARs that have been and are currently in use in North America.

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Authors and Affiliations

  1. Department of Trauma and Orthopaedics, Frimley Health NHS Foundation Trust, Frimley Park Hospital, Portsmouth Road, Frimley, GU16 7UJ, UK

    Nikolaos Gougoulias MD, PhD

  2. Department of Musculoskeletal Disorders, Faculty of Medicine, University of Salerno, Salerno, Italy

    Nicola Maffulli MD, MS, PhD, FRCP, FRCS(Orth)

  3. Barts and The London School of Medicine and Dentistry, William Harvey Research Institute, Centre for Sports and Exercise Medicine, Queen Mary University of London, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, UK

    Nicola Maffulli MD, MS, PhD, FRCP, FRCS(Orth)

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  1. Nikolaos Gougoulias MD, PhD
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  2. Nicola Maffulli MD, MS, PhD, FRCP, FRCS(Orth)
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Correspondence to Nikolaos Gougoulias MD, PhD .

Editor information

Editors and Affiliations

  1. Gundersen Health System, La Crosse, Wisconsin, USA

    Thomas S. Roukis

  2. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Gregory C. Berlet

  3. Wisconsin Foot and Ankle Institute, Marshfield, Wisconsin, USA

    Christopher Bibbo

  4. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Christopher F. Hyer

  5. Department of Orthopedics, University of British Columbia, Vancouver, British Columbia, Canada

    Murray J. Penner

  6. Foot and Ankle Center Karlsruhe, Karlsruhe, Germany

    Markus Wünschel

  7. Atlantic Foot & Ankle Center of Chesapeake, Chesapeake, Virginia, USA

    Mark A. Prissel

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Gougoulias, N., Maffulli, N. (2016). History of Total Ankle Replacement in North America. In: Roukis, T., et al. Primary and Revision Total Ankle Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-24415-0_1

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