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Failed TAR: Conversion to Ankle Fusion with Tibial Lengthening

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Limb Lengthening and Reconstruction Surgery Case Atlas

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Abstract

Failure of total ankle joint replacements introduces a challenging presentation to the treating physician. Multiple factors need to be considered during preoperative planning and treatment of this complex condition which include leg length discrepancy, malalignment, and infection due to bone loss. The technique of acute shortening to create an ankle fusion with proximal tibial lengthening has been a successful treatment of the failed ankle replacement with three centimeters or less defect of bone. However, when bone defect of greater than three centimeters occurs after a failed total ankle joint replacement, then an ankle joint fusion with bone transport is optimal.

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Authors and Affiliations

  1. International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Head of Foot and Ankle Surgery, Director, Foot and Ankle Deformity Correction Fellowship, Chief, Limb Preservation, Sinai Hospital, 2401 West Belvedere Ave., Baltimore, MD, 21215, USA

    Bradley M. Lamm & Dror Paley

Authors
  1. Bradley M. Lamm
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  2. Dror Paley
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Correspondence to Bradley M. Lamm .

Editor information

Editors and Affiliations

  1. Hospital for Special Surgery, New York, New York, USA

    S. Robert Rozbruch

  2. Shriner's Hospital for Children, Montreal, Québec, Canada

    Reggie Hamdy

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© 2014 Springer International Publishing Switzerland (outside the USA)

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Lamm, B.M., Paley, D. (2014). Failed TAR: Conversion to Ankle Fusion with Tibial Lengthening. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-02767-8_116-1

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  • DOI: https://doi.org/10.1007/978-3-319-02767-8_116-1

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  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-02767-8

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