Ankle prosthesis methods

A method of implanting an ankle prosthesis in a subject having an ankle joint in need of replacement, the ankle joint including a distal tibia end, a fibula, and a talus, the method comprising:

• providing a fixed-bearing ankle prosthesis comprising a tibial component and a
• talar component, wherein:
• the tibial component comprises a convex tibial attachment surface defined by a circle arc and a tibial articulating surface;
• the talar component comprises a medial edge, a lateral edge, a concave talar attachment surface defined by a circle arc, and a talar articulating surface, the talar articulating surface directly contactable with the tibial articulating surface;
• the tibial articulating surface comprises a medial concave condylar facet and a lateral concave condylar facet, each condylar facet having a radius of curvature in a medial-lateral plane that defines a respective circle arc, the facets separated from one another by a convex central portion;
• the talar articulating surface comprises a medial convex condyle that underlies the medial condylar facet, and a lateral convex condyle that underlies the lateral condylar facet, the condyles separated from one another by a concave central portion that underlies the tibial convex central portion;
• the medial condyle of the talar component has a first single radius of curvature in the medial-lateral plane that defines a convex circular arc cross-section continuously extending, in the medial-lateral plane, from the medial edge of the talar component to the concave central portion of the talar articulating surface;
• the lateral condyle of the talar component has a second single radius of curvature in the medial-lateral plane that defines a convex circular arc cross-section continuously extending, in the medial-lateral plane, from the lateral edge of the talar component to the concave central portion of the talar component second surface;
• the medial condyle radius of curvature is smaller than the medial condylar facet radius of curvature;
• and
• the lateral condyle radius of curvature is smaller than the lateral condylar facet radius of curvature;
• performing an osteotomy of the fibula to gain lateral access to the distal tibia end and the talus;
• distracting the ankle joint;
• making a concave cut in the distal tibia end corresponding to the convex curve of the tibial attachment surface to create a tibial cut end;
• making a convex cut in the talus corresponding to the concave curve of the talar attachment surface to create a talar cut end;
• fixing the tibial attachment surface of the tibial component to the tibial cut end;
• fixing the talar attachment surface to the talar component to the talar cut end;
• approximating the respective articulating surfaces of the tibial component and the talar component so that they contact one another;
• and
• refixating the fibula.