Abstract

Rheumatoid arthritis is a systemic autoimmune condition of unknown etiology which may present to the orthopedic surgeon with multi joint involvement. Rheumatoid arthritis can involve the ankle, hindfoot and forefoot. We review the historical surgical treatments for the rheumatoid ankle. We also discuss the results of the varying generations of total ankle replacement in rheumatoid arthritis. We conclude the results of the latest generation of ankle arthroplasties are limited in the rheumatoid population. This demands a frank discussion between patients and surgeons prior to embarking on surgery.

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