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Updated: Jul 11, 2026
07:24
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
The management of failed ankle replacement.
R Kotnis1, C Pasapula, F Anwar
1Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, UK. rkotnis@hotmail.com
The Journal of Bone and Joint Surgery. British Volume
|August 1, 2006
Summary
Failed total ankle replacement salvage procedures show hindfoot fusion is often preferable to revision total ankle replacement, especially in cases without infection. Experienced surgical teams and multidisciplinary support are crucial for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Total ankle replacement (TAR) components have advanced, increasing interest in the procedure.
- Failed TAR presents complex challenges requiring effective salvage strategies.
Purpose of the Study:
- To evaluate salvage procedures for failed total ankle replacements.
- To compare outcomes of hindfoot fusion versus revision total ankle replacement.
Main Methods:
- Retrospective review of 16 patients with failed TAR between 1999 and 2004.
- Patients underwent either one-stage (aseptic) or two-stage (infected) salvage procedures.
- Treatment options included hindfoot fusion, revision TAR, or amputation.
Main Results:
- 14 patients had aseptic loosening; 5 underwent revision TAR, 9 had hindfoot fusion.
- 2 patients had infection; 1 underwent fusion, 1 amputation.
- No wound breakdown, nonunion, or malunion occurred.
Conclusions:
- Management of failed TAR requires experienced surgeons and multidisciplinary support.
- Hindfoot fusion appears to be a more favorable option than revision TAR currently.
- Salvage procedures for failed TAR can achieve good outcomes without complications.
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