{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:36:23Z","timestamp":1777613783318,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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 &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Globally, rising rates of ankle arthritis have largely driven increases in total ankle arthroplasty (TAA) and revision TAA (rTAA). INVISION (Wright Medical\/Stryker) is a novel modular implant system designed for addressing rTAA-associated challenges; however, clinical outcomes remain limited. Therefore, the purpose of this systematic review is to synthesize the available INVISION rTAA literature to evaluate implant survivorship and complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A PROSPERO-preregistered query of PubMed\/MEDLINE, Embase, Cochrane, CINAHL, and Web of Science was performed on August 18, 2025, to identify INVISION-using rTAA studies. Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS). Extractions included demographics and operative outcomes. Statistics included frequency-weighted means (FWMs) and meta-analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Five retrospective studies were included (mean MINORS\u2009=\u200910.2\u2009\u00b1\u20090.8; n\u2009=\u2009100; FWM age\u2009=\u200964.0\u2009\u00b1\u20098.4\u2009years; follow-up\u2009=\u20092.8\u2009\u00b1\u20091.2\u2009years; 56% male; body mass index\u2009=\u200930.5\u2009\u00b1\u20095.5 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; time-to-revision\u2009=\u20094.5\u2009\u00b1\u20092.5\u2009years). Tibial-talar implant permutations were INVISION-INVISION (25%), INVISION-INBONEII (19%), and INBONEII-INVISION (56%). Patients underwent an average of 1.8 additional procedures to rTAA: frequently medial malleolus fixation (21.8%) and hardware removal (17.3%). Pooled implant survivorship was 88%. Complication rates varied (0%-39.3%), and the all-cause rTAA pooled reoperation rate was 21%, driven primarily by aseptic loosening (38.1%) and infection (28.6%). The pooled re-revision rate was 11%. Meta-analyses revealed no significant differences in either all-cause reoperation or re-revision risk when comparing INVISION-INVISION to any other implant permutations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>INVISION rTAA demonstrated early survivorship and complication rates that should be interpreted cautiously given retrospective study designs, high heterogeneity, \u201cvery low\u201d GRADE outcome certainty, and limited follow-up duration. Aseptic loosening and infection remain the predominant drivers of reoperation and re-revision. No significant differences in these risks were detected across implant permutations. Future longitudinal, comparative studies are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114261435959","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:43:16Z","timestamp":1776681796000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Revision Total Ankle Arthroplasty Using the INVISION Modular Implant System: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9047-8712","authenticated-orcid":false,"given":"Shahabeddin","family":"Yazdanpanah","sequence":"first","affiliation":[{"name":"College of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Braeden R.","family":"Gooch","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6196-3074","authenticated-orcid":false,"given":"Sashrik","family":"Sribhashyam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John W.","family":"Cyrus","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7675-2685","authenticated-orcid":false,"given":"Benjamin P.","family":"Cassidy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel B.","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5817-3826","authenticated-orcid":false,"given":"Albert T.","family":"Anastasio","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest University, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conor N.","family":"O\u2019Neill","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10194489"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(23)00163-7"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-022-06692-0"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221119148"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114231198234"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.105B11.BJJ-2023-0199.R1"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720947036"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400221109420"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0945"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718794956"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2015.0177"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-23-00559"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.230111"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics14151612"},{"key":"e_1_3_3_16_2","volume-title":"INVISION\u2122 Total Ankle Revision System: 510(k) Premarket Notification (K153008)","author":"Wright Medical Technology, Incorporated","year":"2016","unstructured":"Wright Medical Technology, Incorporated. 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