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Primary and Revision Total Ankle Replacement pp 395–405Cite as

Ankle Arthrodesis and Malunion Takedown to Total Ankle Replacement

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Abstract

End-stage ankle joint arthritis may be treated with either ankle arthrodesis or total ankle replacement. Though ankle arthrodesis offers predictable results, it also has substantial loss of motion that leads to gait changes and surrounding midfoot and hindfoot joint arthritis. In particular, a malunion or nonunion following attempted ankle arthrodesis is a serious complication with resultant pain and functional loss. In the case of a poorly functioning and painful ankle arthrodesis, takedown to total ankle replacement may be undertaken. While limited published data is available, this is a viable option in certain candidates. The authors present the available data regarding ankle arthrodesis taken down to total ankle replacement. Ankle arthrodesis takedown to total ankle replacement is a viable option for the painful ankle malunion or nonunion, although it is more demanding than primary total ankle replacement.

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, BayCare Clinic, 501 N. 10th Street, Manitowoc, WI, 54220, USA

    Jason George DeVries DPM

  2. Orthopedic Foot and Ankle Center, Westerville, OH, USA

    Christopher F. Hyer DPM, MS, FACFAS & Gregory C. Berlet MD, FRCSC

  3. Grant Medical Center Podiatric Medicine and Surgical Residency, Columbus, OH, USA

    Christopher F. Hyer DPM, MS, FACFAS

Authors
  1. Jason George DeVries DPM
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  2. Christopher F. Hyer DPM, MS, FACFAS
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  3. Gregory C. Berlet MD, FRCSC
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Corresponding author

Correspondence to Jason George DeVries DPM .

Editor information

Editors and Affiliations

  1. Gundersen Health System, La Crosse, Wisconsin, USA

    Thomas S. Roukis

  2. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Gregory C. Berlet

  3. Wisconsin Foot and Ankle Institute, Marshfield, Wisconsin, USA

    Christopher Bibbo

  4. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Christopher F. Hyer

  5. Department of Orthopedics, University of British Columbia, Vancouver, British Columbia, Canada

    Murray J. Penner

  6. Foot and Ankle Center Karlsruhe, Karlsruhe, Germany

    Markus Wünschel

  7. Atlantic Foot & Ankle Center of Chesapeake, Chesapeake, Virginia, USA

    Mark A. Prissel

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© 2016 Springer International Publishing Switzerland

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DeVries, J.G., Hyer, C.F., Berlet, G.C. (2016). Ankle Arthrodesis and Malunion Takedown to Total Ankle Replacement. In: Roukis, T., et al. Primary and Revision Total Ankle Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-24415-0_34

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  • DOI: https://doi.org/10.1007/978-3-319-24415-0_34

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24413-6

  • Online ISBN: 978-3-319-24415-0

  • eBook Packages: MedicineMedicine (R0)

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