Total ankle replacement along with subtalar joint arthrodesis: In-vitro and in-silico biomechanical investigations. 2021

Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
Faculty of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran.

Total ankle replacement (TAR) and subtalar joint (STJ) fusion, are popular treatments for ankle osteoarthritis (OA). Short endurance limits the former, and movement disability comes with the latter. It is hypothesized here that fusion of the STJ can improve the longevity of the TAR prosthesis. In this study, a fresh human cadaver's ankle joint underwent TAR surgery, and strain patterns in the vicinity of prosthesis were recorded after the application of axial compressive load on tibia, resembling stance phase of the gait. Then, STJ of the same sample fused (FTAR), and a similar test procedure was pursued. The obtained strains in the FTAR were smaller than those of the TAR (p < .01). Finite element models of the tested samples were also made, and validated by experimental strains. The validated FE models were then employed to find stress distribution on the tibial plateau and prosthesis compartments. FTAR demonstrated more regular stress profiles in bone-prosthesis interface. Also, maximum von Mises stress in the talar component of the FTAR is approximately half of that in the TAR (8 and 15 MPa, respectively). Based on the results of this study, having a more symmetric load distribution on the prosthesis after STJ fusion, longevity of the TAR may likely increase.

UI MeSH Term Description Entries
D010003 Osteoarthritis A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans. Arthritis, Degenerative,Osteoarthrosis,Osteoarthrosis Deformans,Arthroses,Arthrosis,Arthritides, Degenerative,Degenerative Arthritides,Degenerative Arthritis,Osteoarthritides,Osteoarthroses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000843 Ankle Joint The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS. Ankle Syndesmosis,Articulatio talocruralis,Distal Tibiofibular Joint,Inferior Tibiofibular Joint,Talocrural Joint,Tibiofibular Ankle Syndesmosis,Tibiofibular Syndesmosis,Ankle Joints,Ankle Syndesmoses,Ankle Syndesmosis, Tibiofibular,Distal Tibiofibular Joints,Inferior Tibiofibular Joints,Joint, Ankle,Joints, Ankle,Syndesmosis, Ankle,Talocrural Joints,Tibiofibular Ankle Syndesmoses,Tibiofibular Joint, Distal,Tibiofibular Syndesmoses
D001174 Arthrodesis The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed) Arthrodeses
D013380 Subtalar Joint Formed by the articulation of the talus with the calcaneus. Talocalcaneal Joint,Joint, Subtalar,Joint, Talocalcaneal,Joints, Subtalar,Joints, Talocalcaneal,Subtalar Joints,Talocalcaneal Joints
D058737 Arthroplasty, Replacement, Ankle Replacement of the ANKLE JOINT. Ankle Replacement Arthroplasty,Total Ankle Replacement,Ankle Replacement Arthroplasties,Ankle Replacement, Total,Ankle Replacements, Total,Arthroplasties, Ankle Replacement,Arthroplasty, Ankle Replacement,Replacement Arthroplasties, Ankle,Replacement Arthroplasty, Ankle,Replacement, Total Ankle,Replacements, Total Ankle,Total Ankle Replacements

Related Publications

Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
January 1994, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
October 2019, Foot & ankle international,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
June 2013, Der Unfallchirurg,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
March 1976, Geriatrics,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
January 1976, Clinical orthopaedics and related research,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
November 2011, Der Orthopade,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
August 2006, The Journal of bone and joint surgery. British volume,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
August 2022, Foot & ankle international,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
March 2002, Foot and ankle clinics,
Yousef Taghizadeh, and Ahmad Chitsazan, and Saeid Pezeshki, and Hadi Taghizadeh, and Gholamreza Rouhi
January 2012, Clinics in podiatric medicine and surgery,
Copied contents to your clipboard!