Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Total Ankle Replacement
Hintermann H3 Total Ankle Replacement for Primary Ankle OA
A third-generation Hintermann H3 replacement for primary ankle arthritis — a mobile-bearing, uncemented implant with 83% survivorship at 15–20 years.
Patient Age
65 Years
MECHANISM
Primary ankle OA
PRESENTATION
Chronic Primary Arthritis
APPROACH
Anterior-Approach H3 Replacement
01
Clinical Rationale
Primary arthritis with restricted movement made this patient well suited to a third-generation mobile-bearing design with documented long-term survivorship. Movement was restored at implantation, with a protected two-month non-weight-bearing period to allow integration.
02
Surgical Approach
The H3 total ankle replacement was performed via an anterior approach, restoring range of motion at implantation. The implant is imported from the Netherlands under a patient-specific licensing process, with two months of non-weight-bearing advised after surgery.
02
Imaging & Progression
Pre-operative and post-implantation range-of-motion imaging. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
The H3 implant showed 83% survivorship at 15–20 years in published data.
#2
It is a three-component, mobile-bearing, semi-constrained system suited to primary arthritis.
#3
The implant is imported from the Netherlands under a patient-specific licensing process.
#4
Two months of non-weight-bearing is advised after surgery for sound integration.
04
Clinical Care Points
RIGHT SIDE
- i) Anterior approach H3 implantation
ii) Mobile-bearing 3-component system
iii) Restored post-implantation movement
iv) Two months non-weight-bearing protocol
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Hintermann H3 Total Ankle Replacement for Primary Ankle OA
A third-generation Hintermann H3 replacement for primary ankle arthritis — a mobile-bearing, uncemented implant with 83% survivorship at 15–20 years.
A 65-year-old man presented with primary ankle osteoarthritis causing pain, stiffness and reduced daily mobility. Unlike many post-traumatic cases, there was no major fracture malunion driving the degeneration. The goal was to relieve arthritic pain while preserving useful ankle motion.
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