March 17, 2026 · Foot & ankle international · DOI: 10.1177/10711007261419131

Total Ankle Arthroplasty vs Arthrodesis in an HbA<sub>1c</sub>-Defined Diabetic Cohort: Lower 1- to 5-Year Structural Complication Rates in a Retrospective Propensity-Matched Study

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This study compares the outcomes of total ankle arthroplasty (TAA) and ankle arthrodesis (AA) in diabetic patients with end-stage ankle arthritis, specifically examining the rates of postoperative complications. The authors found that TAA had lower structural complication rates at 1, 3, and 5 years compared to AA, while the infection rates were not significantly different after adjusting for multiple comparisons. Overall, TAA demonstrated non-inferior outcomes in this diabetic cohort, suggesting it may be a safer surgical option than AA.

Ahmad Almaat, Alqasim Elnaggar, Kareem Tayeb, Chayton Fivecoat, Malik Al-Jamal, Muaaz Wajahath, David Allen, Brandon W King

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