Foot & ankle specialist最新文献

{"title":"The Efficiency of Highly Porous β-Tricalcium Phosphate With Bone Marrow Aspirate Concentrate in Midfoot Joint Arthrodesis.","authors":"Wonyong Lee, Dan Prat, Wen Chao, Daniel C Farber, Carol Wang, Keith L Wapner","doi":"10.1177/19386400231213177","DOIUrl":"10.1177/19386400231213177","url":null,"abstract":"<p><p>BackgroundNonunion is one of the most common and devastating complications following midfoot joint arthrodesis. Many different types of bone grafts and bone substitutes have been used to promote osseous fusion. However, there is no consensus on the gold standard bone grafting material and whether biologic materials should be used alone or in combination. The purpose of this study is to investigate the efficiency of highly porous β-tricalcium phosphate (β-TCP) with bone marrow aspirate concentrate (BMAC) in midfoot joint arthrodesis.MethodsThis retrospective comparative study included patients who underwent midfoot joint arthrodesis using compression screws. Patients were classified into 2 groups: arthrodesis with highly porous β-TCP and BMAC (group A) and arthrodesis without them (group B). The osseous union rate was compared between the 2 groups. A total of 44 patients (46 feet) including 89 joints were included in this study.ResultsThere was a significant difference in the union rate between the 2 groups: 91.5% (43/47 joints) in arthrodesis with highly porous β-TCP and BMAC (group A) and 76.2% (32/42 joints) in arthrodesis without highly porous β-TCP and BMAC (group B; P = .048).ConclusionThis study investigated the efficiency of highly porous β-TCP and BMAC to promote bony healing in midfoot joint arthrodesis. A significantly higher union rate was shown when arthrodesis was performed with highly porous β-TCP and BMAC, compared with arthrodesis performed without them. We suggest that highly porous β-TCP and BMAC can be a viable and effective adjunct to the fixation in midfoot joint arthrodesis.Level of Evidence:Level III: Retrospective comparative analysis.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"123-132"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12957408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence Language Models Are Useful Tools for Patients Undergoing Total Ankle Replacement.","authors":"Alan P Samsonov, Akram Habibi, James J Butler, Raymond J Walls, John G Kennedy","doi":"10.1177/19386400241249810","DOIUrl":"10.1177/19386400241249810","url":null,"abstract":"<p><p>BackgroundArtificial intelligence (AI) large language models (LLMs), such as Chat Generative Pre-trained Transformer (ChatGPT), have gained traction as both augmentative tools in patient care but also as powerful synthesizing machines. The use of ChatGPT in orthopaedic foot and ankle surgery, particularly as an informative resource for patients, has not been described to date. The purpose of this study was to assess the quality of information provided by ChatGPT in response to commonly asked questions about total ankle replacement (TAR).MethodsChatGPT was asked 10 frequently asked questions about TAR in a conversational thread. Responses were recorded without follow-up, and subsequently graded A, B, C, or F, corresponding with \"excellent response,\" \"adequate response needing mild clarification,\" \"inadequate response needing moderate clarification,\" and \"poor response needing severe clarification.\"ResultsOf the 10 responses, 2 were grade \"A,\" 6 were grade \"B,\" 2 were grade \"C,\" and none were grade \"F.\" Overall, the LLM provided good-quality responses to the posed prompts. Conclusion. Overall, the provided responses were understandable and representative of the current literature surrounding TAR. This study highlights the potential role LLMs in augmenting patient understanding of foot and ankle operative procedures.Levels of Evidence:<i>IV</i>.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"155-167"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the Subtalar or Tibiotalar Joint Need Fused in Primary Retrograde Tibiotalocalcaneal Nailing for Fragility Ankle Fractures?","authors":"Daniel T DeGenova, Zachary P Hill, Adam D Hoffman, Avery R Taylor, Boston Dues, Mallory Faherty, Benjamin C Taylor","doi":"10.1177/19386400241249583","DOIUrl":"10.1177/19386400241249583","url":null,"abstract":"<p><strong>Background: </strong>As an alternative to traditional open reduction internal fixation of ankle fragility fractures, primary retrograde tibiotalocalcaneal (TTC) nailing has been investigated as a treatment option. These results suggest that this treatment is an acceptable alternative treatment option for these injuries. There are still questions about the need for formal joint preparation at the subtalar or tibiotalar joint when performing primary TTC nailing for fragility fractures.</p><p><strong>Methods: </strong>In this study, we retrospectively evaluated 32 patients treated with primary retrograde TTC nail without subtalar or tibiotalar joint preparation for a mean of 2.4 years postoperatively. We specifically reviewed the charts for nail breakages at either joint, patients developing subtalar or tibiotalar joint pathology requiring additional treatment, including return to the operating room for formal joint preparation.</p><p><strong>Results: </strong>Fracture union occurred in 100% of patients. There were 3 cases (10.0%) of hardware failure, and 2 of these cases were asymptomatic and did not require any treatment. One patient (3.3%) developed hardware failure with nail breakage at the subtalar joint. This patient developed progressive pain and symptoms requiring revision surgery with formal arthrodesis of the subtalar and tibiotalar joint.</p><p><strong>Conclusions: </strong>This study shows that retrograde hindfoot nailing without formal subtalar or tibiotalar joint preparation is an acceptable potential treatment option in ankle fragility fractures. Mid-term follow-up demonstrates favorable outcomes without the need for formal joint preparation in this high-risk population. Comparative studies with higher patient numbers and long-term follow-up are needed to confirm the results of this study.<b>Levels of Evidence:</b> Level IV.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"168-174"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Pilates Exercise Training on Static Balance and Lower Limbs Proprioception in Adult Females With and Without Flexible Flatfeet.","authors":"Maryam Ghorbani, Rasoul Yaali, Hassan Sadeghi, Urs Granacher","doi":"10.1177/19386400241279930","DOIUrl":"10.1177/19386400241279930","url":null,"abstract":"<p><p>BackgroundIt is well known that flatfeet are associated with a higher incidence of lower limb injuries in different populations. Thus, we examine how Pilates exercise training affects static balance and ankle and knee proprioception in females with and without flexible flatfeet. Study Design. Case series; Level of evidence.MethodsThis quasi-experimental study involves 91 healthy 18- to 25-year-old female university students. The Navicular Drop Test was used to diagnose flatfeet. Pilates included core strength, balance, and flexibility exercises for 16 weeks. Static balance was assessed using the sharpened Romberg test and ankle and knee joint proprioception were measured using joint position reproduction tests. The Wilcoxon test indicated within-group pre-post improvements in static balance, and ankle and knee joint proprioception in the Pilates and the healthy control group (P < .05).ResultsThe between-group comparisons at post-test showed significant differences for joint position reproduction test of the dorsiflexion (P < .05, η² = 0.10) and the plantarflexion (P < 0.05, η² = 0.08) in favor of the healthy controls group. Joint proprioception of ankle and knee was positively correlated with increasing static balance in the healthy control group.ConclusionThe results showed that Pilates has the potential to improve static balance, and ankle and knee proprioception. However, it did not improve postural control and proprioception in individuals with flatfeet. Our findings advise combining Pilates with other interventions to develop flexible flatfeet in females.Levels of Evidence:Level I.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"196-205"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Fragment-Specific Fixation Provide Better Functional Outcomes Following Trimalleolar Ankle Fractures?","authors":"Danuksha K Amarasena, Upamanyu Nath, Abhirun Das, Thomas Collins, Anand Pillai","doi":"10.1177/19386400251343745","DOIUrl":"10.1177/19386400251343745","url":null,"abstract":"<p><p>BackgroundFractures to the ankle account for nearly 10% of all fractures. The trimalleolar configuration of ankle fracture is a notoriously unstable injury encompassing injury to the medial, lateral, and posterior malleolus, often occurring as a result of rotational force to the ankle. Historically, poorer outcomes have been associated with fractures of the posterior malleolar component, which were broadly categorized as a single homogenous group. Recent advancements and greater appreciation of fracture pathomechanisms have aided fragment classification and hence tailored fixation. Aims. Our study compares the post-operative functional outcomes following novel fragment-specific plating (Volition) against conventional plating during the surgical fixation of trimalleolar ankle fractures. Post-operative functional outcomes were measured at 12 months using the Foot and Ankle Disability Index (FADI) and Manchester-Oxford Foot Questionnaire (MOXFQ) as patient-reported outcome measures (PROMs).MethodsWe conducted a retrospective cohort study of patients admitted to our orthopaedic department for a corrective surgery following a trimalleolar ankle fracture. Each fracture was confirmed via computed tomography (CT) imaging and corrected using either fragment-specific or conventional plating. Post-operatively, patients were followed up functionally and radiologically.ResultsOur study included 22 matched pairs of patients, each of who required surgical fixation for a trimalleolar ankle fracture. The FADI and MOXFQ questionnaires were conducted to assess functional outcomes during the post-operative period. The PROM data indicated that there were statistically significant superior outcomes in both the activity and pain subscales of the FADI (P > .05). However, no significant differences were observed in the MOXFQ scores.ConclusionThis study concludes that fragment-specific plating of the posterior malleolar component provides superior functional outcomes in terms of pain and activity levels following trimalleolar ankle fractures, as measured by the FADI. Larger studies with longer follow-up are needed to confirm these results and guide standardized treatment protocols.Level of Evidence:Level 2.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"219-224"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12957405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Strategies and Return-to-Sport Outcomes in High-Performance Athletes With Acute Achilles Tendon Rupture: Multicenter Retrospective Study.","authors":"Shimpei Yano, Yasuhiko Takegami, Katsuhiro Tokutake, Kenichi Mishima, Hiroaki Nakashima, Shiro Imagama","doi":"10.1177/19386400261428877","DOIUrl":"https://doi.org/10.1177/19386400261428877","url":null,"abstract":"<p><p>IntroductionAcute Achilles tendon rupture (AATR) can challenge high-performance athletes, necessitating effective treatment strategies to facilitate their return to play (RTP). How treatment outcomes of non-surgical and surgical approaches affect RTP in high-level athletes remains unclear. Acute Achilles tendon rupture, considered a combination of age-related degeneration and high-energy trauma, suggests stratification based on athlete groups rather than simple age categorization to comprehend the reality of AATR in athletes.MethodsThis multicenter retrospective study included 64 athletes with AATR who underwent either non-surgical or surgical treatment. Athletes were categorized into elite (n = 18) and masters (n = 46) groups. Patient demographics, injury details, treatment, and RTP outcomes were collected. Intensity of Achilles tendon loading was assessed with the modified Halasi score (mHS). Complete RTP (cRTP) was defined as resuming the same sports discipline and competition level as before injury.ResultsIn the masters group, post-treatment mHS was significantly lower in the surgically treated versus non-surgically treated group (P = .0322). Complete RTP rate and Achilles tendon total rupture score were not significantly different between treatment groups in either elite or masters categories. In the masters group, the primary immobilization period was significantly longer in the surgical versus non-surgical group (P = .0435). Non-surgical masters patients not achieving cRTP had a significantly longer immobilization period (P < .001). (odds ratio = 0.91; 95% confidence interval = 0.56-1.48; P = .71).ConclusionSurgical treatment may decrease post-treatment physical activity intensity in masters athletes, and prolonged immobilization may negatively impact cRTP in non-surgical masters patients. Early functional mobilization is beneficial in both treatment modalities. Treatment strategies and duration of immobilization can potentially impact RTP outcomes in high-level athletes with AATR.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261428877"},"PeriodicalIF":2.1,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Sport-Specific Comparison of Lateral Ankle Sprain and Chronic Ankle Instability in 2200 Collegiate Athletes.","authors":"Yosuke Hiroshige, Ryusei Yamaguchi, Kai Iriguchi, Takashi Sudo, Hajime Kato, Keigo Ohyama-Byun","doi":"10.1177/19386400261421543","DOIUrl":"https://doi.org/10.1177/19386400261421543","url":null,"abstract":"<p><p>BackgroundThis study aimed to evaluate the prevalence and potential associations among lateral ankle sprains (LAS), recurrent LAS, chronic ankle instability (CAI), and CAI by criteria for clinical practice (CAI-C). Chronic ankle instability by criteria for clinical practice is a condition that meets CAI inclusion criteria but also falls under the exclusion criteria defined by the International Ankle Consortium (IAC). Chronic ankle instability by criteria for clinical practice represents a broader clinical definition of CAI.MethodsThis study was a descriptive epidemiological study of the prevalence of LAS, recurrent LAS, CAI, and CAI-C in sports disciplines. A total of 2,175 athletes (1,522 males and 653 females) from 12 sports were surveyed using a structured questionnaire incorporating the Japanese version of the Identification of Functional Ankle Instability. Classification was based on criteria from the IAC.ResultsThe results showed that 52.9% of the participants experienced LAS, and 36.2% had a recurrence. Among those with LAS history, 68.5% had recurrent episodes. Chronic ankle instability was observed in 17.9% of athletes, and CAI-C was present in 32.6%, nearly 1.8 times more prevalent than typical CAI. In particular, the prevalence of CAI-C was more than twice that of CAI in rugby football, cheerleading, and soccer. Furthermore, 90.0% of recurrent LAS cases progressed to CAI-C. Chronic ankle instability was most prevalent in basketball and handball, whereas CAI-C was prevalent not only in these sports but also in soccer and judo, based on adjusted residuals ≥1.96.ConclusionsWe found that the number of participants with CAI-C differed from that of participants with CAI. This finding suggests that CAI may not reflect the entire clinical population with CAI conditions. Therefore, it has been suggested that it is also necessary to identify CAI-C in clinical practice. These findings underscore and support the need to consider tailored prevention programs and clinical attention to at-risk sports to reduce the long-term impact of ankle instability in athletes.Levels of Evidence:Prognostic, Level IV: case series.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261421543"},"PeriodicalIF":2.1,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open Ankle Dislocation Without Fracture With Neurovascular Bundle Entrapment Confirmed Preoperatively by CT Angiography: A Case Report.","authors":"Tetsuhiro Hagino, Masanori Wako, Tetsuo Hagino, Satoshi Ochiai, Jiro Ichikawa, Taro Fujimaki, Go Goto, Hirotaka Haro","doi":"10.1177/19386400261431168","DOIUrl":"https://doi.org/10.1177/19386400261431168","url":null,"abstract":"<p><p>We report an open pure ankle dislocation without fracture in a 61-year-old man after a heavy load struck his thigh. Preoperative computed tomographic angiography (CTA) demonstrated entrapment of the posterior tibial, flexor digitorum longus, and flexor hallucis longus tendons together with the tibial neurovascular bundle within a widened tibiofibular syndesmosis. Given irreducibility and risk to the bundle, open reduction was performed with careful disengagement of the entrapped structures, followed by staged dynamic fixation of the syndesmosis. The patient returned to normal activity without pain or limitation of range of motion. Pure ankle dislocation with syndesmotic diastasis accompanied by diminished or uncertain distal neurovascular findings and/or irreducibility should raise suspicion for deep entrapment, for which early CTA may facilitate safer operative planning and help avoid iatrogenic injury from repeated manipulation.<b>Level of Evidence:</b> Level V, Case Report.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261431168"},"PeriodicalIF":2.1,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Union Deformities in Fifth Metatarsal Fractures: A Scoping Review.","authors":"Date Van der Meij, Bradley Weaver, Alireza Ebrahimi, Lorena Bejarano-Pineda, Gregory Waryasz, Peter Kloen, John Y Kwon, Soheil Ashkani-Esfahani","doi":"10.1177/19386400261426853","DOIUrl":"https://doi.org/10.1177/19386400261426853","url":null,"abstract":"<p><p>BackgroundUnion deformities are relatively common in proximal fifth metatarsal (5MT) fractures following both conservative and surgical treatment. Several risk factors have been identified to guide risk prediction and management. This review aimed to summarize factors contributing to delayed or nonunion in 5MT fractures.MethodsA literature search for studies reporting risk factors for 5MT fractures was performed using PubMed/Medline, EMBASE, ScienceDirect, Web of Science, and CINAHL databases. Methodological quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS). Data on bone healing rates, complications, fracture zones, treatment approach, and healing outcomes were collected and summarized.ResultsThe initial search identified 668 articles, of which 13 met inclusion criteria, including over 1000 cases. Multiple risk factors were significantly associated with impaired union in 5MT fractures. Fracture zone (particularly zone 2), a plantar gap >1 mm, small screw diameter, and early return to activity before radiographic healing were the most consistent predictors of delayed or nonunion. Surgical treatment led to faster union but higher rates of delayed union and refracture. Bone grafting and larger screw diameters significantly improved union outcomes.ConclusionHealing outcomes in 5MT fractures are influenced by multiple risk factors, with fracture zone, fracture chronicity, and fixation strategy being the most significant contributors to union deformities. Identifying high-risk patients and tailoring treatment may reduce nonunion and improve recovery. Further high-quality studies are warranted to establish standardized definitions, treatment protocols and risk stratification models.Level of Evidence:<i>Level IV: scoping review.</i></p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261426853"},"PeriodicalIF":2.1,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mid- to Long-term Outcomes and Survivorship of the Salto and Salto-Talaris Total Ankle Replacement Implants A Systematic Review.","authors":"Jared Rubin, Alexander Tham, Ryan Rutherford, Michael Allen, Thomas Bieganowski, James J Butler, Akram Habibi, Kevin A Schafer, Raymond J Walls, John G Kennedy","doi":"10.1177/19386400261426062","DOIUrl":"10.1177/19386400261426062","url":null,"abstract":"<p><p>BackgroundThe purpose of this systematic review is to evaluate the mid-term to long-term clinical outcomes, physical exam findings, radiographic findings, implant survivorship, and complications between the Salto and Salto-Talaris total ankle replacement (TAR) implant designs for the treatment of end-stage arthritis.MethodsDuring September 2025, the PubMed, EMBASE, and Cochrane library databases were systematically reviewed to identify clinical studies examining outcomes and survivorship following TAR with Salto or Salto-Talaris implants. Of note, most included studies were non-comparative case series.ResultsFifteen studies comprising 1196 patients (1221 ankles) who underwent TAR with Salto or Salto-Talaris implants were included. The weighed mean follow-up time for Salto and Salto-Talaris implant patients was 86.4 ± 24.9 and 73.6 ± 23.5 months, respectively. The weighted mean American Orthopaedic Foot and Ankle Society score increased 42.6 ± 16.8 points for the Salto implant cohort and 28.1 ± 15.1 points for the Salto-Talaris implant cohort. For patients who received the Salto implant, 33 (6.8%) ankles required revisions at a weighted mean time of 4.8 ± 1.4 years. Survivorship of the Salto implant at 5- and 10-year follow-up was 92% and 89%, respectively. For patients who underwent the Salto-Talaris implant, 27 (3.7%) ankles required revisions at a weighted mean time of 3.6 ± 2.5 years. Survivorship of the Salto-Talaris implant at 5- and 10-year follow-up was 97% and 92%, respectively.ConclusionsMid-term and long-term follow-ups for patients who received either Salto or Salto-Talaris implants demonstrated improvements in clinical outcomes, radiographic findings, range of motion, and implant survivorship. Overall, both implants provided favorable and largely comparable performance profiles, with low rates of clinical complications and revisions. The absence of formal comparative statistical analyses and head-to-head studies prevents definitive conclusions regarding implant superiority. Further prospective, comparative studies are warranted to establish which implant offers superior longevity for the treatment of end-stage ankle arthritis.Levels of EvidenceIV, systematic review.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261426062"},"PeriodicalIF":2.1,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}