Outcomes and associated factors of revision procedures after failed total ankle arthroplasty: a comparative cohort analysis - Summary - MDSpire

Outcomes and associated factors of revision procedures after failed total ankle arthroplasty: a comparative cohort analysis

  • By

  • Kathrin Pfahl

  • Julia Eder

  • Dominic Simon

  • Gautier Beckers

  • Boris Michael Holzapfel

  • Markus Walther

  • April 17, 2026

  • 0 min

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Objective:

To compare survival outcomes of revision ankle arthrodesis (RAA) and revision total ankle arthroplasty (RTAA) following failed primary total ankle arthroplasty (TAA) and explore associated clinical and radiographic factors.

Key Findings:
  • Revision rates for TAA are significant, with RAA and RTAA showing varied survival outcomes.
  • Patient-related factors such as BMI, age, and sex influence outcomes.
  • Implant-related factors, including the presence of periarticular cysts, affect revision success.
Interpretation:

The study highlights the complexity of revision surgeries following failed TAA, emphasizing the need for tailored approaches based on individual patient and implant factors.

Limitations:
  • Retrospective design may introduce bias.
  • Limited follow-up duration for some cases.
  • Potential confounding factors not fully accounted for.
Conclusion:

Understanding the factors influencing outcomes in RAA and RTAA can guide clinical decision-making and improve patient management following failed TAA.

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