Anterior Approach Total Ankle Arthroplasty with Patient-Specific Cut Guides

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Discussion

Patient-specific instrumentation improves outcomes in total ankle arthroplasty, suggesting better alignment and reduced complications.

Total ankle arthroplasty with patient-specific cut guides results in improved outcomes and decreased operative times.
Patients start weight-bearing 4 weeks earlier with TAA compared to ankle arthrodesis, improving recovery.
Utilizing CT-based guides can enhance placement of tibial and talar components, minimizing risks of malalignment.
Longitudinal studies indicate that TAA patients report better satisfaction and higher reoperation rates compared to ankle arthrodesis.

Willegger et al. (2025) studied this question.

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