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Related Concept Videos

Ankle Joint01:10

Ankle Joint

2.0K
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...
2.0K

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

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Current Techniques in Total Ankle Arthroplasty.

James M Cottom1, Jason George DeVries2, Christopher F Hyer3

  • 1Florida Orthopedic Foot & Ankle Center, 1630 S. Tuttle Avenue, Sarasota, FL 34239, USA.

Clinics in Podiatric Medicine and Surgery
|April 2, 2022
PubMed
Summary
This summary is machine-generated.

Total ankle replacement (TAR) is a popular motion-preserving surgery for ankle arthritis. Careful patient selection and addressing deformities are key for successful outcomes in total ankle replacement.

Keywords:
Ankle arthritisAnkle replacementTotal ankle arthroplastyValgus ankleVarus ankle

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Reconstructive Surgery

Background:

  • Total ankle replacement (TAR) is gaining popularity as a motion-preserving alternative to ankle fusion (arthrodesis).
  • TAR is indicated for various forms of ankle arthritis, including primary, posttraumatic, and inflammatory conditions.
  • Successful outcomes in TAR depend heavily on appropriate patient selection and surgical technique.

Purpose of the Study:

  • To provide an overview of techniques for total ankle replacement (TAR).
  • To discuss strategies for managing coronal plane deformities in TAR.
  • To present the authors' experience with single versus staged correction of deformities.

Main Methods:

  • Review of techniques for achieving a well-aligned ankle joint during TAR.
  • Discussion of methods to correct varus and valgus deformities.
  • Analysis of single versus staged surgical approaches for coronal plane deformities.

Main Results:

  • Proper patient selection is crucial for successful TAR outcomes.
  • Specific contraindications for TAR include neuropathy, infection, severe peripheral arterial disease, poor bone stock, and uncorrectable deformities.
  • Techniques for addressing coronal plane deformities are essential for optimal TAR results.

Conclusions:

  • Total ankle replacement (TAR) offers a viable motion-preserving option for ankle arthritis.
  • Meticulous patient selection and adept management of coronal plane deformities are critical for successful TAR.
  • The authors share insights into managing complex deformities in TAR procedures.