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Updated: Jul 18, 2025
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Use of Femoral Head Allograft for Extended Bone Loss in Revision Total Ankle Arthroplasty: A Case Report
Peter Kvarda1, Roxa Ruiz, Beat Hintermann
1Department of Orthopaedics, Kantonsspital Baselland, Liestal, Switzerland.
Case:
A 38-year-old male patient presented with severe ankle pain 13 years after a total ankle arthroplasty (TAA). Radiographic evaluation revealed loosening of the implant and extensive osteolytic lesions. The medial tibial plafond and malleolus were reconstructed using a fresh-frozen femoral head graft, and revision TAA was performed. The midterm results were satisfactory, with adequate integration of the allograft and stable implant components.
Conclusion:
The use of the allograft technique in revision TAA is feasible in the presence of severe bone loss, including the malleoli, and allows firm component fixation of the reconstructed bone.
