David Townshend

Introduction Total ankle arthroplasty (TAA) has become increasingly popular as an alternative to ankle arthrodesis.1,2 The National Joint Registry for England and Wales has captured ankle arthroplasties from 1 January 2010. Up until the 31 December 2019, there were 7,837 procedures recorded including data on 12 different implants.3 The INFINITY TAA (Wright Medical, USA) is a highly instrumented, fourth generation, fixed bearing, three component TAA.

It has been interesting to watch the major hotel companies’ recent attempt to shift bookings to their direct on-line channels by incentivizing members of their loyalty programs with “exclusive offers”, including reduced rates, free Wi-Fi, and special packages. For decades, the big chains have invested enormous resources in an effort to build customer loyalty—beginning with loyalty programs in the early 1980s.