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Managing Intraoperative Fractures During Total Ankle Replacement.

Christopher E Gross1, Daniel J Scott1

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Intraoperative fractures can occur during total ankle replacement (TAR) despite surgical advancements. This review focuses on recognizing and managing these perioperative fractures to improve patient outcomes.

Keywords:
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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total ankle replacement (TAR) is a complex procedure with potential for intraoperative complications.
  • Fractures, a significant complication, can occur during or after TAR, impacting patient outcomes.
  • Limited data exists on the true incidence of perioperative fractures in TAR due to study heterogeneity.

Purpose of the Study:

  • To review and focus on perioperative fractures occurring during total ankle replacement (TAR).
  • To highlight the importance of recognizing and managing intraoperative and postoperative fractures in TAR.

Main Methods:

  • Literature review focusing on perioperative fractures in total ankle replacement.
  • Analysis of fracture types, incidence, and management strategies.

Main Results:

  • Intraoperative fractures can occur despite surgeon experience and refined techniques.
  • Postoperative fractures include stress fractures and those from trauma.
  • Accurate identification and remediation of fractures are crucial for successful TAR.

Conclusions:

  • Perioperative fractures are a critical concern in total ankle replacement surgery.
  • Effective management strategies are essential for mitigating the impact of these complications.
  • Further research is needed to establish the precise incidence and optimal treatment of TAR-related fractures.