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Related Experiment Videos

Arthrodesis for failed ankle arthroplasty.

H B Kitaoka1, D W Romness

  • 1Department of Orthopedics, Mayo Clinic, Rochester, MN 55905.

The Journal of Arthroplasty
|September 1, 1992
PubMed
Summary

Arthrodesis effectively salvages failed total ankle replacements, with high union rates and significant pain reduction. This surgical fusion provides a viable solution for ankle reconstruction, improving patient outcomes.

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Arthrodesis of the ankle: technique, complications, and salvage treatment.

Instructional course lectures·1999

Area of Science:

  • Orthopedic surgery
  • Reconstructive surgery

Background:

  • Total ankle arthroplasty (TAA) can fail, necessitating revision surgery.
  • Salvage procedures are crucial for restoring function after TAA failure.

Purpose of the Study:

  • To evaluate the efficacy of arthrodesis (surgical fusion) in salvaging failed total ankle arthroplasty.
  • To assess union rates, pain levels, and complications associated with ankle fusion after TAA failure.

Main Methods:

  • Retrospective review of 38 ankles in 36 patients with failed TAA.
  • Surgical techniques included malleolar resection, intercalated bone graft, and posterior tibiotalocalcaneal fusion.
  • Fixation methods and bone grafting utilization were recorded.

Main Results:

  • Ankle fusion (arthrodesis) achieved a union rate of 89% (33 of 38 ankles).
  • 80% of patients reported no or mild pain post-surgery.
  • A complication rate of 13% was observed.

Conclusions:

  • Arthrodesis is a successful salvage procedure for failed total ankle arthroplasty.
  • Ankle fusion can lead to high rates of bony union and significant pain relief.
  • This surgical approach offers a viable option for patients experiencing TAA failure.

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