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Ankle Fusion After Failed Total Ankle Replacement

Espinosa, Norman MD; Wirth, Stephan Hermann MD; Jankauskas, Linas MD

Techniques in Foot & Ankle Surgery: December 2010 - Volume 9 - Issue 4 - p 199–204
doi: 10.1097/BTF.0b013e3181fc85f6
Special Focus: Current and New Techniques for Total Ankle Replacement and Management of Associated Problems

Proper treatment of failed total ankle replacement remains a challenge. Several revision modalities and techniques exist to either preserve or salvage the ankle joint. Among them there is revision total ankle replacement, amputation, or ankle arthrodesis. The goal of salvage ankle fusion is to restore height and alignment of the hindfoot and to get a stable but pain-free plantigrade and functional foot. Loss of bone and additional deformities pose specific problems for the surgeon and must be taken into consideration during preoperative planning. Meticulous preparation of the fusion sites is crucial to achieve later union of the bones. Although screw fixation alone could be used to get solid fusion, anterior double plating offers an intriguing alternative and provides great stability and high-compressive forces across the fusion site.

Department of Orthopaedic Surgery, University of Zurich Hospital, Balgrist, Switzerland

Address correspondence and reprint requests to Norman Espinosa, MD, Department of Orthopaedics, University of Zurich, Balgrist, Forchstrasse 340, 8008 Zürich, Switzerland. e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.