Conversion of Tibiotalar Arthrodesis to Total Ankle Arthroplasty

Conclusions: Short-term follow-up after conversion of ankle arthrodesis to total ankle arthroplasty demonstrated pain relief and improved function in a majority of patients. Patients who undergo this surgery frequently require concomitant procedures; we recommend prophylactic malleolar fixation when performing conversion total ankle arthroplasty. The rate of complications, particularly talar component settling and migration, is cause for concern. We do not recommend the procedure for ankle arthrodeses that included distal fibulectomy. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

http://jbjs.org/cgi/content/short/97/24/2004?rss=1

Source: The Journal of Bone and Joint Surgery - December 16, 2015 Category: Orthopaedics Authors: Pellegrini, M. J., Schiff, A. P., Adams, S. B., Queen, R. M., DeOrio, J. K., Nunley, J. A., Easley, M. E. Tags: Foot & Ankle Scientific Articles Source Type: research