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

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  • 1

    Total ankle arthroplasty (TAA) has a ten-year survivorship of approximately 89%, but revision rates can reach 18% within the same timeframe.

  • 2

    Revision ankle arthrodesis (RAA) shows solid union rates up to 90%, while revision total ankle arthroplasty (RTAA) has variable 5-year survival rates from 60% to 80%.

  • 3

    Patient-related factors such as elevated BMI and age significantly influence outcomes after revision surgeries following failed TAA.

  • 4

    Implant-related factors, including the presence of periarticular cysts and underlying diagnoses, also affect the prognosis of revision procedures.

  • 5

    The study aims to compare survival outcomes of RAA and RTAA and explore associated clinical and radiographic factors influencing revision failure.

Original Source(s)

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

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