Ankle Prosthesis Applied to Whom?
Criteria for patient selection for Ankle Prosthesis (AP) are not uniform and the discussion is ongoing. There are certain rules to be observed and adhered to when deciding, and the surgeon should know and digest them and guide them. I am inclined to leave the decision to the patient after I have informed the patient in detail in my practice.
The ideal patient for AP is those with a body mass index of 19-25 kg / m 2, non-deformity, not very active, 70% of the joint range of motion preserved but severe pain due to cartilage loss. Patients who have previously their other joints immobilized in the foot are also ideal for Ankle Prosthesis, but prosthetic surgeons should be performed without error because such cases are not tolerated by arthroplasty.
Patients who are overactive, those with a body mass index greater than 25 kg / m2, those with hallux-valgus deformities above 150, those with avascular necrosis those can not be disected from talus, traumatic bone loss, osteoporotics, reduced range of motion.Patients and those who have had an infection in the past constitute the group that we are most difficult to decide on.