Skip to main content
. 2024 Nov 24;13(23):7099. doi: 10.3390/jcm13237099

Figure 1.

Figure 1

Sports-active patient with VANTAGE Total Ankle Arthroplasty mobile-bearing system. A 59-year-old patient suffered from post-traumatic ligamentous end-stage varus ankle osteoarthritis (OA) with chronic lateral ligament ankle instability and peroneus brevis tendon lesion (A–C, pre-op). The preoperative MR images show the medial predominantly ankle OA (D,E, pre-op). The surgery comprised TAA implantation, deltoid release, lateral ankle ligament reconstruction, and peroneus longus (PL)-to-brevis (PB) tendon transfer. After TAA surgery at recent 3-year follow-up he reached an AOFAS Ankle/Hindfoot Score of 100, VAS Pain Score of 0, Dorsiflexion/Plantarflexion 25-0-40, and Inversion/Eversion 30-0-10 (F–H); could return to a sports level of >5 h/week including hiking over 10 km and skiing; and obtained a Subjective Patients’ Satisfaction Score of 10 points (very satisfied). He describes a sense of the “forgotten joint” level. The radiological examination shows at 3-year follow-up a well-osteointegrated TAA with no signs of lucency or loosening.