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Adult Reconstruction
intermediate
X-Type

Total Ankle Arthroplasty - Indications and Outcomes

Ankle Reconstruction

A 55-year-old woman presents with end-stage ankle osteoarthritis following a remote pilon fracture. She has neutral alignment (5 degrees valgus), intact ligaments, good bone stock, and a BMI of 27. She works as a librarian and wishes to maintain ankle motion for activities like gardening and walking. She has bilateral ankle disease with the contralateral side being less symptomatic. Regarding total ankle arthroplasty:

Mark each as TRUE or FALSE

A

Total ankle arthroplasty preserves ankle motion (average 30 degrees dorsiflexion, 45 degrees plantar...

B

Ideal TAA candidate criteria include age 40-65, BMI under 30, sedentary to moderate activity level, ...

C

TAA is appropriate for young heavy laborers requiring high-impact activities; severe coronal plane d...

D

Third-generation mobile-bearing TAA implants show approximately 90% survival at 10 years; periprosth...

E

Contraindications include active infection, avascular necrosis of talus, severe neuropathy, inadequa...

Answer the questions to see explanations

Click T (True) or F (False) for each option