Evaluation and Management of the Painful Total Ankle Arthroplasty. Issue 5 (May 2015)

• Record Type: Journal Article
• Authors: Hsu, Andrew R.; Haddad, Steven L.; Myerson, Mark S.
• Is Part Of: Journal of the American Academy of Orthopaedic Surgeons. Volume 23:Issue 5(2015)
• Publication Date: 2015-05
• Subjects: Orthopedics -- Periodicals; Orthopedic surgery -- Periodicals; Joint Diseases -- Periodicals; Orthopedics -- Periodicals; Orthopedic surgery; Orthopedics; Periodicals; 616.7005
• DOI: 10.5435/JAAOS-D-14-00017
• Languages: English
• ISSNs: 1067-151X

Abstract

Abstract : Total ankle arthroplasty (TAA) is an increasingly popular treatment option for patients with end-stage ankle arthritis. Although improved short- and long-term clinical and radiographic outcomes have been achieved with TAA, revision surgery may be necessary in the setting of aseptic loosening, subsidence, impingement, arthrofibrosis, or infection. Factors such as patient selection, implant design, and surgical technique can all contribute to TAA failure. Treatment of patients with a painful TAA is complex and requires careful consideration of symptom history, workup, and nonsurgical and surgical treatment options. Surgical management of failed TAA includes arthrodesis, revision surgery, or below-knee amputation.