Is Subtalar Joint Preservation With Total Ankle Arthroplasty (TAA) Overhyped?
by Vince Vacketta, DPM One of the long-proposed advantages of TAA over ankle arthrodesis (AA) has been the preservation of adjacent-joint motion and protection of the subtalar joint. But does that theoretical benefit hold up in practice? Examining the evidence In a recent Level III retrospective matched cohort analysis, researchers examined data from 4,210 patients to compare rates of progression to subtalar arthrodesis after TAA versus AA. The two groups were matched for age
Aug 271 min read
Total Ankle Arthroplasty (TAA) v. Ankle Arthrodesis (AA) Lower Reoperations and Costs at Two Years
by Vince Vacketta, DPM A national database study published last month compared outcomes between two surgical treatments for end-stage ankle arthritis: primary TAA and AA. The analysis included 69,627 propensity-matched patients in each group. The study found that TAA was associated with better outcomes and lower healthcare costs compared with arthrodesis: Reoperations, Revisions, and Reoperations: The overall reoperation rate was 3.1% after TAA compared with 7.7% after arthr
Jun 41 min read
Cutting Down on Medial Gutter Impingement in Total Ankle Arthroplasty (TAA)
by Vince Vacketta The problem: Medial gutter impingement following TAA results in pain and restricted movement, despite the implant being...
Jun 12, 20251 min read
Wear-Related Total Ankle Arthroplasty (TAA) – a Post-Mortem Analysis
by Vince Vacketta, DPM New research on TAA is continually emerging. A comprehensive 265-page thesis from Newcastle University in the...
Nov 13, 20241 min read
