Abstract
Summary Background We performed a systematic literature review of relevant clinical studies targeting the following criteria: preoperative and postoperative sports activities in patients who underwent total ankle replacement (TAR) and TAR failure in sports-active and sports-inactive patients. Materials and Methods Literature review was performed using different databases including PubMed, MEDLINE, and GoogleScholar. Study eligibility was assessed independently and in duplicate by two independent reviewers. Coleman Methodology Score (CMS) was used to assess the quality of included studies. Results In total, 5 clinical studies have been included for the review based on the inclusion criteria. There were 2 Level III and 3 Level IV studies. The mean CMS of included studies was 33.4±10.9 points. Conclusions In the current literature, there is no evidence demonstrating that participation in sports activities may be associated with increased failure rate of TAR. It remains controversial, whether TAR results in higher participation in sport activities. Level of evidence Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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