Ankle arthrodesis for failed total ankle replacement

140Citations
Citations of this article
66Readers
Mendeley users who have this article in their library.

Abstract

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. ©2006 British Editorial Society of Bone and Joint Surgery.

Cite

CITATION STYLE

APA

Hopgood, P., Kumar, R., & Wood, P. L. R. (2006). Ankle arthrodesis for failed total ankle replacement. Journal of Bone and Joint Surgery - Series B, 88(8), 1032–1038. https://doi.org/10.1302/0301-620X.88B8.17627

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free