Abstract
Failure of total ankle joint replacements introduces a challenging presentation to the treating physician. Multiple factors need to be considered during pre-operative 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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References and Suggested Reading
Didomenico LA, Cross D (2012) Revision of failed ankle implants. Clin Podiatr Med Surg 29(4):571–584
Gougoulias N, Khanna A, Maffulli N (2010) How successful are current ankle replacements?: a systematic review of the literature. Clin Orthop Relat Res 468(1):199–208, A(1), 43–48, Jan 2012
Katsenis D, Bhave A, Paley D, Herzenberg JE (2005) Treatment of malunion and nonunion at the site of an ankle fusion with the Ilizorov apparatus. J Bone Joint Surg Am 87:302–309
Kitaoka HB (1991) Salvage of nonunion following ankle arthrodesis for failed total ankle arthroplasty. Clin Orthop 268:37–43
Kwon DG, Chung CY, Park MS, Sung KH, Kim TW, Lee KM (2011) Arthroplasty versus arthrodesis for end-stage ankle arthrodesis: decision analysis using Markov model. Int Orthop 35(11):1647–1653
Nunley J, Caputo A, Easley M, Cook C (2012) Intermediate to long-term outcomes of the STAR total ankle replacement: the patient perspective. J Bone Joint Surg Am 94(1):43–48
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© 2015 Springer International Publishing Switzerland (outside the USA)
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Lamm, B.M., Paley, D. (2015). Case 46: 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/10.1007/978-3-319-18026-7_116
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DOI: https://doi.org/10.1007/978-3-319-18026-7_116
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18025-0
Online ISBN: 978-3-319-18026-7
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