RESEARCH - Ankle arthrodesis for failed total ankle replacement

[Guest guest]

J Bone Joint Surg Br. 2006 Aug;88(8):1032-8.

Ankle arthrodesis for failed total ankle replacement.

Department of Orthopaedic Surgery, Norfolk and Norwich University Hospital,

Colney Road, Norwich NR4 7YZ, UK.

Between 1999 and 2005, 23 failed total ankle replacements were converted to

arthrodeses. Three surgical techniques were used: tibiotalar arthrodesis

with screw fixation, tibiotalocalcaneal arthrodesis with screw fixation, and

tibiotalocalcaneal arthrodesis with an intramedullary nail. As experience

was gained, the benefits and problems became apparent. Successful bony union

was seen in 17 of the 23 ankles. The complication rate was higher in ankles

where the loosening had caused extensive destruction of the body of the

talus, usually in rheumatoid arthritis. In this situation we recommend

tibiotalocalcaneal arthrodesis with an intramedullary nail. This technique

can also be used when there is severe arthritic change in the subtalar

joint. Arthrodesis of the tibiotalar joint alone using compression screws

was generally possible in osteoarthritis because the destruction of the body

of the talus was less extensive. Tibiotalocalcaneal arthrodesis fusion with

compression screws has not been successful in our experience.

PMID: 16877602

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\

ctPlus & list_uids=16877602

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org