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The golden standard in advanced ankle arthrosis has always been the stiffening (arthrodesis) of the ankle. In addition to a possible non-union (absence of bony stiffening), a long post-treatment time (up to 4 months) and the development of arthritis in the adjacent joints can be problematic.
The first ankle prostheses were implanted more than 40 years ago. Design of the prosthesis and implantation techniques have been continuously developed since that time. Today it is a three-part prosthesis with a cap for the talus (talus), a plate for the tibia and a mostly flexible plastic-polyethylene sliding core. The prosthesis parts are implanted without cement.
In Germany, about 2,000 ankle prostheses are currently being implanted each year. The tendency is rising. Long-term studies show an increasingly good survival rate of the prostheses after 5 years (95%) and after 10 years (80%).