Ankle arthroplasty is the second largest and fastest growing market in orthopedics with revenues in 2013 of over 130 million dollar and growing at a robust pace of 30% annually.
Growing numbers of elderly and obese patients are the major factors driving the market of total ankle replacement worldwide. In the previous generations of total ankle prostheses (TAR) the high-risk complications such as mal-alignment, continued pain and arthritis developing in the adjacent joints were associated with total ankle replacement surgeries and have hindered
the growth of the global ankle replacement market.

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http://www.eponaholding.nl/aaa/documents/Pressrelease.pdf