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Abstract

Total Ankle Replacement (TAR) has emerged as a viable surgical option for patients with end-stage ankle arthritis, offering the potential for pain relief and improved function. However, despite advancements in implant design and surgical techniques, TAR is associated with several drawbacks and limitations that warrant careful consideration. One of the primary drawbacks of TAR is the risk of implant-related complications. While modern implants aim to replicate normal ankle biomechanics, complications such as loosening, subsidence, component wear, and osteolysis can occur, leading to implant failure and the need for revision surgery. Additionally, malalignment, instability, and impingement may result from improper implant positioning or inadequate soft tissue balancing, further contributing to poor outcomes. This abstract provides an overview of the drawbacks of total ankle replacement based on current literature and clinical experience.