Prospective Controlled Trial of STAR Total Ankle Replacement versus Ankle Fusion: Initial Results

@article{Saltzman2009ProspectiveCT,
  title={Prospective Controlled Trial of STAR Total Ankle Replacement versus Ankle Fusion: Initial Results},
  author={Charles L Saltzman and Roger A. Mann and Jeanette E. Ahrens and Annunziato S Amendola and Robert B. Anderson and Gregory C. Berlet and James W. Brodsky and Loretta B. Chou and Thomas O. Clanton and Jonathan Thorndike Deland and James K Deorio and Greg A. Horton and T-H. Lee and Jeffrey A. Mann and James A. Nunley and David Thordarson and Arthur K. Walling and Keith L. Wapner and Michael J. Coughlin},
  journal={Foot \& Ankle International},
  year={2009},
  volume={30},
  pages={579 - 596}
}
Background: Mobile-bearing ankle replacements have become popular outside of the United States over the past two decades. The goal of the present study was to perform a prospective evaluation of the safety and efficacy of a mobile-bearing prosthesis to treat end stage ankle arthritis. We report the results of three separate cohorts of patients: a group of Scandanavian Total Ankle Replacement (STAR) patients and a control group of ankle fusion patients (the Pivotal Study Groups) and another… 
Prospective Randomized Trial Comparing Mobile-Bearing and Fixed-Bearing Total Ankle Replacement
TLDR
This prospective, randomized controlled trial compared patient satisfaction, functional outcomes, and radiographic results of the mobile-bearing STAR and the fixed-bearing Salto-Talaris in the treatment of end-stage ankle arthritis found that patient-reported and clinical outcomes were favorable for both designs and that there was no significant difference in clinical improvement between the 2 implants.
Scandinavian Total Ankle Replacement: 15-Year Follow-up
TLDR
A small cohort demonstrated STAR ankles with retention at 9 years were highly likely to survive to 15 years, and patients continued to have significant improvement in pain relief and minimal decrease in function.
Intermediate-term Experience With the STAR Total Ankle in the United States
TLDR
This cohort of patients with true intermediate follow-up after TAA with the STAR prosthesis had acceptable implant survival, maintenance of improved patient-reported outcome scores, and low major complication rates.
Early Prospective Results of the Salto-Talaris™ Total Ankle Prosthesis
TLDR
Early clinical results indicate that the Salto-Talaris fixed-bearing TAA system can provide significant improvement in pain, quality of life, and standard functional measures in patients suffering from end-stage ankle arthritis.
Intermediate to Long-Term Outcomes of Total Ankle Replacement with the Scandinavian Total Ankle Replacement (STAR).
TLDR
Intermediate patient-reported outcomes were good after ankle arthroplasty with the STAR prosthesis performed by experienced surgeons, and long-term outcomes demonstrated a 12% rate of metal component revision and 18% rates of polyethylene bearing failure.
Effectiveness and Safety of Ankle Arthrodesis Versus Arthroplasty: A Prospective Multicenter Study.
TLDR
Improvement in several patient-reported outcomes was greater after TAA than after AA, without a significant difference in the rates of revision surgery and complications.
Early prospective clinical results of a modern fixed-bearing total ankle arthroplasty.
TLDR
Early clinical results indicate that the Salto Talaris fixed-bearing total ankle arthroplasty system can provide significant improvement in pain, quality of life, and standard functional measures in patients with end-stage ankle arthritis.
Living With Both a Total Ankle Replacement and an Ankle Fusion: A Qualitative Study From the Patients’ Perspective
TLDR
It is found that each ankle reconstruction was generally perceived to have different characteristics, advantages, and disadvantages, which can help clinicians better counsel patients on expectations after TAR and ankle fusion, and improve patient-reported outcome measures by better capturing meaningful outcomes for patients.
Age-Related Outcome of Mobile-Bearing Total Ankle Replacement
TLDR
This study demonstrates that total ankle arthroplasty is an effective short-term treatment for young, active patients with symptomatic end-stage ankle arthritis, in disagreement with the widespread theory that ankle replacement is a more reliable treatment in the elderly.
Comparison of Total Ankle Replacement and Ankle Arthrodesis During the Recovery Period
TLDR
Patient pain and function during the first 6 months following surgery is an important consideration for those contemplating both ankle arthrodesis and replacement as options.
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