J Korean Foot Ankle Soc.  2021 Sep;25(3):111-116. 10.14193/jkfas.2021.25.3.111.

Current Trends in the Treatment of Ankle Arthritis: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey

  • 1Department of Orthopedic Surgery, Chungbuk National University Hospital, Cheongju, Korea
  • 2Department of Orthopedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea
  • 3Department of Orthopedic Surgery, Busan Centum Hospital, Busan, Korea
  • 4Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea
  • 5Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea


Variations in the preferred conservative and operative treatment methods for ankle arthritis may be observed in the practice of orthopedic surgeons. This study is based on the Korean Foot and Ankle Society (KFAS) member survey and aims to report the current trend and changes in the management of ankle arthritis over the last few decades.
Materials and Methods
A web-based questionnaire containing 24 questions was sent to all KFAS members in July 2021. The questions were mainly related to the preferred techniques and clinical experience in osteotomy, arthrodesis, and total ankle arthroplasty (TAA) for patients with ankle arthritis.
Sixty-three out of 550 surgeons (11.5%) responded to the survey. The responses to 6 out of the total of 24 questions (25.0%) achieved the levels needed to reflect a tendency. Answers that showed a tendency were related to the following: a surgical approach for arthrodesis (anterior approach), use of auto-bone graft for arthrodesis (iliac bone), a nonunion rate of more than 10% following arthrodesis, main reason related to unsatisfactory results after arthrodesis (nonunion or delayed union), the main reason to change total ankle prosthesis (unstable supply of prosthesis), the unusualness of revision TAA and conversion of fusion to TAA. Diversity was found in several aspects of treatment (degree of experience and satisfaction in supramalleolar osteotomy, fixation method for arthrodesis, preferred TAA prosthesis and longevity, degree of experinece, annual number of TAA operation.
This study proposes updated information with regard to the current trends in the management of ankle arthritis in Korea. Both consensus and variations in the approach to patients with ankle arthritis were identified through this survey. With an increasing preference for TAA, the need for the development of a prosthesis optimized for Koreans and a stable supply of prostheses were the suggestions made by the study.


Ankle; Arthritis,; Trend; Survey; Korean Foot and Ankle Surgery


  • Figure. 1 Degree of clinical experience (career) on foot and ankle surgery.

  • Figure. 2 Percentage of patients with ankle arthritis among all treated patients.

  • Figure. 3 Changes in main treatment methods for ankle arthritis by era. TAA: total ankle arthroplasty.

  • Figure. 4 Treatment of choice for patients with mild ankle arthritis.

  • Figure. 5 The most used prosthesis recently for total ankle arthroplasty.

Cited by  1 articles

Surgical Decision and Patient Selection in End-Stage Ankle Arthritis: Total Ankle Arthroplasty vs. Arthrodesis
Jungtae Ahn, Byung-Ki Cho
J Korean Foot Ankle Soc. 2022;26(3):111-117.    doi: 10.14193/jkfas.2022.26.3.111.


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