{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T21:47:22Z","timestamp":1782078442176,"version":"3.54.5"},"reference-count":17,"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"}],"funder":[{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]}],"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>Total ankle arthroplasty (TAA) has continued to increase in popularity as a treatment for ankle arthritis. Despite popularity, continual updates to implant designs strive for improved outcomes which has led to different implant design changes including an extended-length tibial tray to offer more distal tibia cortical coverage. The purpose of this study was to compare radiographic findings (tibial component subsidence, tibial component loosening, heterotopic ossification [HO]) and patient-reported outcome measures (PROMs) between 2 age-, gender-, and body mass index\u2013matched TAA groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was a retrospective review of TAA patients matched into 2 groups: group 1 patients received the extended tibial tray implant, and group 2 received the standard tibial tray implant. Pre- and postoperative lateral radiographs and PROMs (Veterans-RAND 12 [VR-12] Item Health Survey, Ankle Osteoarthritis Scale [AOS], visual analog scale [VAS], and patient satisfaction) were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventy-eight patients were allocated to each group. The mean age was 66.7\u2009years in group 1 and 66.9\u2009years in group 2, with a mean follow-up of 44.6\u2009months and 50.7\u2009months, respectively. There were no significant differences between the groups for pre- and postoperative PROMs. Group 1 had higher patient satisfaction with overall care (95.4 vs 89.8,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.019). Radiographically, the rate of HO formation was significantly lower in group 1 (38.5% vs 62.8%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), and group 1 also had greater plantarflexion (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.096) and significantly less dorsiflexion (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Results appear to indicate that using TAA implants with an extended-length tibial tray is associated with more complete distal tibia cortical coverage, a numerically lower but statistically nonsignificant rate of tibial component subsidence, less heterotopic ossification formation, a trend toward greater postoperative plantarflexion, and higher patient satisfaction with overall care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114261452667","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T06:17:13Z","timestamp":1781763433000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of an Extended-Length Tibial Tray in Total Ankle Arthroplasty: Rate of Subsidence, Loosening, Heterotopic Bone Formation, and Clinical Outcomes"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8561-4161","authenticated-orcid":false,"given":"Christopher J.","family":"Traynor","sequence":"first","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Aurora Health Care, Oak Creek, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9034-2909","authenticated-orcid":false,"given":"Carissa C.","family":"Dock","sequence":"additional","affiliation":[{"name":"University of Colorado Department of Orthopedic Surgery, Denver, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9614-5383","authenticated-orcid":false,"given":"Rebecca","family":"Stone McGaver","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6822-9512","authenticated-orcid":false,"given":"J. Chris","family":"Coetzee","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey D.","family":"Seybold","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla J.","family":"Seiffert","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul M.","family":"Cammack","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5146-3107","authenticated-orcid":false,"given":"Bryan D.","family":"Den Hartog","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01597"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00715"},{"key":"e_1_3_2_4_2","volume-title":"Salto Talaris Total Ankle Prosthesis Primary Ankle Replacement Surgical Technique","author":"Smith & Nephew, Inc","year":"2021","unstructured":"Smith & Nephew, Inc. Salto Talaris Total Ankle Prosthesis Primary Ankle Replacement Surgical Technique. Smith & Nephew, Inc.; 2021."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715604392"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716655435"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000132462.72843.e8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2020.05.014"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.01.011"},{"issue":"4","key":"e_1_3_2_10_2","first-page":"203","article-title":"Heterotopic ossification following total ankle replacement: clinical significance and factors affecting its formation","volume":"23","author":"Angthong C","year":"2014","unstructured":"Angthong C, Adams SB, Easley ME, Nunley JA2nd. Heterotopic ossification following total ankle replacement: clinical significance and factors affecting its formation. J Surg Orthop Adv. 2014;23(4):203-213.","journal-title":"J Surg Orthop Adv"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.12.003"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-024-03866-1"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B11.27641"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.02.008"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640020970013"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620x.85b3.13849"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00178"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000132245.18548.09"}],"container-title":["Foot &amp; Ankle Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114261452667","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24730114261452667","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114261452667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T20:51:54Z","timestamp":1782075114000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24730114261452667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/24730114261452667"],"URL":"https:\/\/doi.org\/10.1177\/24730114261452667","relation":{},"ISSN":["2473-0114","2473-0114"],"issn-type":[{"value":"2473-0114","type":"print"},{"value":"2473-0114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"article-number":"24730114261452667"}}