Ankle Arthrodesis with Structural Grafts Can Work for the Salvage of Failed Total Ankle Replacement:

Foot & Ankle Orthopaedics

AdamHalverson¹ 

关键词: Total Ankle Replacement;    Arthrodesis;    Surgery;    Allograft;    Intramedullary Nail;   

DOI  :  10.1177/2473011417S000187

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, Ankle ArthritisIntroduction/Purpose:Surgical treatment options after failed total ankle replacement (TAR) are limited to revision total ankle replacements, revision bone block interposition arthrodesis, or amputation. In patients where revision TAR is not an option and limb salvage is desired, conversion to an ankle arthrodesis can provide a stable, plantigrade foot. Revision arthrodesis is challenged by significant bone loss with removal of the TAR implant. The purpose of this study was to report midterm outcomes and radiographic results in a single surgeon’s group of patients who have undergone revision ankle arthrodesis with intramedullary nail fixation and structural allograft augmentation following failed TAR.Methods:Institutional review board approval was obtained for this study. A retrospective chart and radiographic review was performed. Patients with a minimum follow-up of 1 year who underwent failed TAR revision with structural femoral head allograft and intramedullary tibiotaloc...

【 授权许可】

CC BY