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[Ankle arthrodesis after failed joint replacement].

Hans Zwipp1, René Grass

  • 1Direktor der Unfallchirurgischen Universitätsklinik Carl Gustav Carus, Fetscherstrasse 74, D-01307 Dresden, Germany. uwc@rcs.urz.tu-dresden.de

Operative Orthopadie Und Traumatologie
|December 7, 2005
PubMed
Summary

Ankle arthrodesis successfully restored painless gait in two of four patients after failed total ankle replacement. Revision surgery achieved success in a previously unsuccessful case, highlighting its potential for complex ankle reconstructions.

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Area of Science:

  • Orthopedic surgery
  • Reconstructive surgery

Background:

  • Total ankle replacement (TAR) can fail due to loosening or infection.
  • Ankle arthrodesis is a salvage procedure for failed TAR, aiming to restore function and alleviate pain.

Observation:

  • This study reports on four patients undergoing ankle arthrodesis following failed TAR.
  • Indications included loosened or infected TAR components.
  • Contraindications noted were poor general health and absent patient compliance.

Findings:

  • Successful pain-free gait restoration was achieved in two out of four patients without complications.
  • One patient experienced an absence of bony bridging, requiring revision surgery.
  • Revision with cancellous bone grafts and intramedullary fixation led to a successful outcome in the revision case.

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Implications:

  • Ankle arthrodesis is a viable option for managing failed total ankle replacements.
  • Careful patient selection and surgical technique are crucial for successful outcomes.
  • Revision arthrodesis can salvage cases with initial non-union, improving patient mobility.