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Related Concept Videos

Ankle Joint01:10

Ankle Joint

2.5K
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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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Salvage Arthrodesis for Failed Total Ankle Replacement.

Samuel B Adams1

  • 1Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Duke University Medical Center, 4709 Creekstone Drive, Durham, NC 27703, USA.

Foot and Ankle Clinics
|May 9, 2020
PubMed
Summary

Salvage arthrodesis is a successful treatment for failed total ankle replacements, especially when bone loss, infection, or poor soft tissue coverage is present. It is the most common solution due to limited revision implant options.

Keywords:
3D printingAllograftAnkle arthroplastyAnkle replacementFailureTibiotalarTibiotalocalcaneal

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total ankle replacement (TAR) can fail over time.
  • Revision TAR options are limited, especially for severe complications.

Purpose of the Study:

  • To evaluate the efficacy of salvage arthrodesis for failed TAR.
  • To identify key indications for choosing salvage arthrodesis over revision TAR.

Main Methods:

  • Review of cases involving failed TAR treated with salvage arthrodesis.
  • Analysis of factors influencing the decision for salvage arthrodesis.

Main Results:

  • Salvage arthrodesis is a successful procedure for failed TAR.
  • Key indications include severe bone stock loss, inadequate soft tissue coverage, and infection.
  • Revision TAR is often not justified with these complications.

Conclusions:

  • Salvage arthrodesis is the primary treatment for failed TAR with significant bone loss, infection, or soft tissue issues.
  • The limited availability of revision implants makes salvage arthrodesis the standard of care in these complex cases.