Foot and ankle clinics
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Foot and ankle clinics · Dec 2012
Review Comparative StudyAnkle arthrodesis versus total ankle replacement: how do I decide?
Taking into account numerous individual criteria, the correct indication substantially influences the outcome of patients with end-stage ankle arthritis treated by ankle arthrodesis or total ankle replacement. The purpose of this report is to assist the foot and ankle surgeon or orthopedic surgeon involved in choosing ankle arthrodesis or total ankle replacement in decision-making. Balancing the criteria that are discussed in consideration of the recent relevant literature and evidence available, the surgeon is directed to the correct individual decision.
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Foot and ankle clinics · Dec 2012
ReviewSalvage arthrodesis after failed ankle replacement: surgical decision making.
Fusion remains the primary technique to salvage the failed total ankle. Fusions present a daunting challenge because of the large bone defect left by the explanted arthroplasty components and the difficulty obtaining stable fixation. ⋯ However, because of loss of talar bone stock, it is often necessary to include the subtalar joint in a tibiotalocalcaneal fusion. This article discusses how to determine whether an isolated ankle or ankle-hindfoot fusion is indicated and presents surgical techniques for filling the bone defect and achieving stable internal fixation.