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7/14/2026 5:50:24 AM | Browse: 1 | Download: 1
Publication Name World Journal of Orthopedics
Manuscript ID 118518
Country India
Received
2026-01-05 03:09
Peer-Review Started
2026-01-05 03:14
First Decision by Editorial Office Director
2026-01-20 08:22
Return for Revision
2026-01-20 08:22
Revised
2026-01-25 08:11
Publication Fee Transferred
Second Decision by Editor
2026-03-09 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-03-09 10:34
Articles in Press
2026-03-09 10:34
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-07-07 07:23
Publish the Manuscript Online
2026-07-14 05:50
ISSN 2218-5836 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Orthopedics
Manuscript Type Correspondence
Article Title Letter to the Editor: Learning curve considerations in lateral-approach total ankle replacement
Manuscript Source Invited Manuscript
All Author List Raktim Swarnakar
ORCID
Author(s) ORCID Number
Raktim Swarnakar http://orcid.org/0000-0002-7221-2825
Funding Agency and Grant Number
Corresponding Author Raktim Swarnakar, Assistant Professor, MD, Faculty of Physical Medicine and Rehabilitation, National Cancer Insitute, Jhajjar Campus, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, Delhi, India. raktimswarnakar@hotmail.com
Key Words Total ankle replacement; Learning curve; Lateral approach; Patient-reported outcome measures; Surgical complications
Core Tip This letter highlight that in lateral-approach total ankle replacement, patient-reported pain and functional outcomes can stabilize early in a surgeon’s experience, while operative efficiency and complication rates continue to improve with increasing case volume. By integrating validated outcome measures with technical and safety metrics, the in-press study demonstrates that the learning curve of this complex procedure is multidimensional rather than linear. Careful patient selection and preoperative optimization-particularly in patients with inflammatory arthritis-remain critical during the early learning phase, and structured training pathways may facilitate safer adoption of the lateral approach.
Publish Date 2026-07-14 05:50
Citation

Swarnakar R. Letter to the Editor: Learning curve considerations in lateral-approach total ankle replacement. World J Orthop 2026; 17(7): 118518

URL https://www.wjgnet.com/2218-5836/full/v17/i7/118518.htm
DOI https://doi.org/10.5312/wjo.118518
Full Article (PDF) WJO-17-118518-with-cover.pdf
Manuscript File 118518_Auto_Edited_014241.docx
Answering Reviewers 118518-answering-reviewers.pdf
Audio Core Tip 118518-audio.mp3
Conflict-of-Interest Disclosure Form 118518-conflict-of-interest-statement.pdf
Copyright License Agreement 118518-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 118518-non-native-speakers.pdf
Peer-review Report 118518-peer-reviews.pdf
Scientific Misconduct Check 118518-scientific-misconduct-check.png
Scientific Editor Work List 118518-scientific-editor-work-list.pdf
CrossCheck Report 118518-crosscheck-report.pdf