OrthoJOE

Total Ankle Replacement

OrthoJOE
Total Ankle Replacement
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In this episode, Marc and Mo are joined by special guest Bruce Sangeorzan—Professor of Orthopaedics at the University of Washington and world-renowned foot and ankle researcher—in a lively discussion on the past, present, and future of ankle replacement.  

  • Approximately 700,000 knee replacements are performed each year, compared with just 10,000-20,000 ankle replacements, leading to a number of questions:
    • How does this factor affect the number of clinicians who are as skillful and comfortable in performing ankle replacement as compared with shoulder, knee, and hip replacement?
    • How do better-designed alignment devices, improved implants, and better training affect the numbers of ankle replacements being performed each year?
    • How soon can we reach 40,000 ankle replacements each year?
  • What are the challenges in performing RCTs of ankle arthroplasty? Is an RCT even the right study design for this topic?
  • What design elements seem to be most successful, especially given the space limitations in the ankle region?
  • How do factors such as degenerative disease, BMI, activity level, and adjacent osteotomy affect the results of ankle replacement and arthrodesis? 

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org

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Brought to you by Mohit Bhandari and Marc Swiontkowski of OrthoJOE.


Brought to you by Mohit Bhandari and Marc Swiontkowski of OrthoJOE