The Study

This study compares total ankle replacement and  arthrodesis (fusion) surgery in patients aged 50-85 with end-stage ankle arthritis.

Purpose of the Study

The main surgical treatments for end-stage ankle arthritis are ankle arthrodesis or total ankle replacement (TAR). Approximately 3,000 patients with ankle arthritis undergo ankle arthrodesis or TAR in the NHS each year. Both treatments are available on the NHS, and both have been reported to have good results. Some studies suggest that TAR restores a more natural walking pattern than ankle fusion but other studies have suggested that the need for further surgery is higher with TAR than with fusion. Information on all TARs implanted in the NHS has been captured on the National Joint Registry since 2010, but no similar national registry exists for ankle fusion. There has never been a published randomized trial directly comparing the two procedures.


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Clinical Trial

TARVA is a clinical trial for patients with ankle osteoarthritis (OR) that are considering surgery

 

Ankle Replacement

Total ankle replacement is an operation to replace a worn-out ankle joint by resurfacing the ends of your tibia and talus with metal components with a plastic insert in between them to allow gliding motion.

Ankle Fusion

Ankle fusion is an operation to convert a stiff painful joint into an even stiffer but painless joint. In this procedure, the remaining damaged cartilage is removed from the ends of the bone and the two bones are then held together in compression using screws, or plates until they join to become one (bone fusion).


Testimonials

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