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Related Experiment Video

Updated: Jul 11, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Arthrodesis after failed total ankle replacement.

P Culpan1, V Le Strat, P Piriou

  • 1Department of Orthopaedic Surgery and Traumatology, Hôpital Raymond Poincare, 92380 Garches, Paris, France. paulculpan@doctors.net.uk

The Journal of Bone and Joint Surgery. British Volume
|October 2, 2007
PubMed
Summary

Failed total ankle replacement can be successfully converted to arthrodesis using bone grafting and internal fixation. This surgical technique achieves high fusion rates in patients with degenerative arthritis, improving function and satisfaction.

Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Area of Science:

  • Orthopedic Surgery
  • Arthrodesis Techniques
  • Ankle Reconstruction

Background:

  • Total ankle replacement (TAR) failure necessitates revision surgery.
  • Arthrodesis is a common salvage procedure for failed TAR.
  • Bone grafting and internal fixation are key components of successful arthrodesis.

Purpose of the Study:

  • To evaluate the efficacy of arthrodesis with bone grafting and internal fixation for failed total ankle replacement.
  • To assess fusion rates, functional outcomes, and patient satisfaction in this patient cohort.
  • To compare outcomes in patients with degenerative arthritis versus rheumatoid arthritis.

Main Methods:

  • Retrospective review of 16 patients undergoing arthrodesis for failed TAR between 1993 and 2006.

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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

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Last Updated: Jul 11, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

  • Tricortical autograft from the iliac crest used to maintain ankle and hindfoot alignment.
  • Internal fixation employed for stabilization, with subsequent analysis of fusion and American Orthopaedic Foot and Ankle Society (AOFAS) scores.

    • Main Results:

    • Successful arthrodesis achieved in 15 out of 16 patients within a mean of three months.
    • One patient with rheumatoid arthritis and severe bone loss experienced nonunion, requiring revision surgery.
    • Post-operative AOFAS scores improved significantly, with high patient satisfaction reported.

    Conclusions:

    • Arthrodesis with tricortical iliac crest autograft and internal fixation is a reliable salvage procedure for failed total ankle replacement in degenerative arthritis.
    • High fusion rates and good functional outcomes can be expected.
    • Rheumatoid arthritis with significant bone loss presents a higher risk of nonunion and may require tailored treatment approaches.