Publication Name	World Journal of Orthopedics
Manuscript ID	113708
Country	Poland

Category	Orthopedics
Manuscript Type	Retrospective Cohort Study
Article Title	Learning curve of total ankle replacement from the lateral approach
Manuscript Source	Invited Manuscript
All Author List	Henryk Liszka, Artur Gądek, Anna Maria Zięba, Kaja Surowiecka, Jakub Kwiatkowski, Tomasz Kozioł, Michał Sebastian Bochenek and Konrad Kwolek
Funding Agency and Grant Number
Corresponding Author	Henryk Liszka, MD, PhD, Professor, Department of Orthopedics and Traumatology, Jagiellonian University Medical College, Faculty of Medicine, Macieja Jakubowskiego 2, Kraków 30-688, Małopolska, Poland. liszkah@gmail.com
Key Words	Arthroplasty replacement ankle; Osteoarthritis; Ankle joint; Surgical procedures operative methods; Surgical approach; Lateral approach; Learning curve; Patient-reported outcome measures
Core Tip	This study provides a multidimensional evaluation of the learning curve in lateral-approach total ankle replacement using the Zimmer™ system. Significant improvements in pain and function were observed, as measured by patient-reported outcome measures - the Manchester-Oxford Foot Questionnaire and the European Foot and Ankle Society score - and remained consistent from the earliest cases, indicating early stabilization of outcomes. Operative time and complication rates improved with surgical experience, plateauing after approximately 25-30 cases. A simultaneous anteromedial approach during the primary procedure may help reduce the need for secondary interventions. Most infection-related complications occurred in rheumatoid arthritis patients, underscoring the importance of careful preoperative optimization.
Citation	Liszka H, Gądek A, Zięba AM, Surowiecka K, Kwiatkowski J, Kozioł T, Bochenek MS, Kwolek K. Learning curve of total ankle replacement from the lateral approach. World J Orthop 2025; In press

Received	2025-09-02 05:52
Peer-Review Started	2025-09-02 05:52
First Decision by Editorial Office Director	2025-09-20 02:10
Return for Revision	2025-09-20 02:10
Revised	2025-10-19 18:59
Publication Fee Transferred
Second Decision by Editor	2025-12-25 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-25 08:29
Articles in Press	2025-12-25 08:29
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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