{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T20:12:12Z","timestamp":1784837532773,"version":"3.55.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In recent years, total ankle arthroplasty (TAA) has been increasingly selected for the treatment of ankle arthropathy associated with rheumatoid arthritis because it allows early weight-bearing and preservation of ankle range of motion. However, salvage strategies for talar component subsidence after TAA depend on the implant system used, and ankle arthrodesis is frequently selected for cases treated with the FINE Total Ankle System (NAKASHIMA HEALTHFORCE CO.). Implant removal followed by ankle arthrodesis inevitably results in loss of ankle motion and substantial bone defects. Furthermore, removal of a cemented implant often requires extensive bone debridement, which may further increase the risk of non-union and deterioration of activities of daily living due to prolonged non-weight-bearing. We report a case of talar component subsidence of approximately 10\u00a0mm after TAA treated with the FINE Total Ankle System, successfully managed by revision TAA using the largest available talar component (size 6L) combination with bone grafting and medial malleolar osteotomy. This approach preserved ankle range of motion and was associated with favourable mid-term clinical and radiographic outcomes in the present case. Revision TAA using the largest available talar component with bone grafting may be considered a potential salvage option for carefully selected patients with talar component subsidence after TAA using the FINE Total Ankle System.<\/jats:p>","DOI":"10.1093\/mrcr\/rxag058","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:42:30Z","timestamp":1783424550000},"source":"Crossref","is-referenced-by-count":0,"title":["Salvage surgery for talar component subsidence after total ankle arthroplasty using the FINE Total Ankle System: A case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9938-6780","authenticated-orcid":false,"given":"Takaaki","family":"Noguchi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine Faculty of Medicine , Suita, Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Etani","sequence":"additional","affiliation":[{"name":"Department of Sports Medical Biomechanics, The University of Osaka, Graduate School of Medicine Faculty of Medicine , Suita, Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gensuke","family":"Okamura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center , Kawachinagano, Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Hirao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nippon Medical School , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kashimoto Hospital , Sayama, Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Sugimoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine Faculty of Medicine , Suita, Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine Faculty of Medicine , Suita, Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Ebina","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine Faculty of Medicine , Suita, Osaka ,","place":["Japan"]},{"name":"Department of Sports Medical Biomechanics, The University of Osaka, Graduate School of Medicine Faculty of Medicine , Suita, Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"2026072315413309400_ref1","doi-asserted-by":"crossref","first-page":"862","DOI":"10.3899\/jrheum.131018","article-title":"Recent trends in orthopedic surgery aiming to improve quality of life for those with rheumatoid arthritis: data from a large observational cohort","volume":"41","author":"Momohara","year":"2014","journal-title":"J Rheumatol"},{"key":"2026072315413309400_ref2","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1093\/mr\/roac042","article-title":"Surgical intervention for patients with rheumatoid arthritis is declining except for foot and ankle surgery: a single-Centre, 20-year observational cohort study","volume":"33","author":"Tominaga","year":"2023","journal-title":"Mod 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