{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:37:49Z","timestamp":1793345869171,"version":"4.5.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Most modern total ankle arthroplasty (TAA) implants have low-profile designs that minimize tibial resection and use small pegs or posts for fixation. A number of studies have identified concerning rates of lucencies around the tibial components of these implants. In this study, we evaluated a consecutive series of patients receiving an anterior approach low-profile TAA prosthesis to describe the incidence, characteristics, and progression of tibial component lucencies at short-term (minimum 1-year) follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent primary TAA with a modern low-profile TAA tibial implant from 2014 through 2021 were identified from a prospectively collected TAA registry. Poorly defined lucency around the tibial component in all 4 tibial zones, as agreed on by 2 independent reviewers, was considered \u201cglobal lucency.\u201d Intraoperative, 1-year, and 2-year postoperative radiographs were assessed for periprosthetic lucencies. Patients with global lucency at 1 year were compared to the remaining patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      554 ankles with a mean 29 \u00b1 19\u2009months of follow-up met inclusion criteria. Twenty-one ankles (3.8%) were revised for tibial loosening. Thirty-six ankles (6.5%) had global tibial lucency at 1 year. Of these, 15 (42%) were eventually revised and the remaining 21 (58%) were doing well clinically at final follow-up. Following multivariable regression, postoperative coronal tibiotalar offset \u22652 degrees (adjusted odds ratio [OR] = 3.60,\n                      <jats:italic>P<\/jats:italic>\n                      = .017), use of the Vantage implant (adjusted OR = 2.84,\n                      <jats:italic>P<\/jats:italic>\n                      = .006), and male sex (adjusted OR = 2.71,\n                      <jats:italic>P<\/jats:italic>\n                      = .016) were predictors of global lucency at 1 year.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>At 1 year after anterior approach low-profile TAA, we found a 6.5% incidence of global lucency around the tibial component, suggestive of lack of osseous integration of the prosthesis. Fifty-eight percent of patients with global lucency did not require revision and were doing well clinically at early follow-up. Higher postoperative coronal tibiotalar offset, use of the Vantage implant, and male sex were all significantly associated with development of global lucency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007251324183","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T10:44:34Z","timestamp":1742294674000},"page":"608-616","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Early Periprosthetic Tibial Lucency Following Low-Profile Total Ankle Arthroplasty"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7124-1504","authenticated-orcid":false,"given":"Elizabeth A.","family":"Cody","sequence":"first","affiliation":[{"name":"Orthopedic Foot and Ankle Surgery, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5329-8734","authenticated-orcid":false,"given":"Jensen K.","family":"Henry","sequence":"additional","affiliation":[{"name":"Orthopedic Foot and Ankle Surgery, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"Jones","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph T.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantine A.","family":"Demetracopoulos","sequence":"additional","affiliation":[{"name":"Orthopedic Foot and Ankle Surgery, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3313-2520","authenticated-orcid":false,"given":"Matthew S.","family":"Conti","sequence":"additional","affiliation":[{"name":"Orthopedic Foot and Ankle Surgery, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007231209763"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718806474"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718794933"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.21.00746"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2024.02.008"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720985292"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211027273"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.23.00933"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.105B10.BJJ-2023-0173.R2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fastrc.2021.100121"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211005781"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13030786"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221136539"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.10.011"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2020.08.023"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718764107"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2018.02.008"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007231201136"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400221109420"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.103B7.BJJ-2020-2058.R2"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05428-0"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007251324183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007251324183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007251324183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:23:38Z","timestamp":1777411418000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007251324183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,18]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/10711007251324183"],"URL":"https:\/\/doi.org\/10.1177\/10711007251324183","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,18]]}}}