Conversion of Tibiotalocalcaneal Arthrodesis to Total Ankle Arthroplasty in the Setting of Fibular Deficiency. Issue 2 (18th June 2022)

• Record Type: Journal Article
• Authors: Posner, Andrew D.; Haddad, Stefanos F.; Harrington, Michael; Angelicola-Richardson, Kyle; Rosenbaum, Andrew J.
• Is Part Of: Techniques in foot & ankle surgery. Volume 21:Issue 2(2022)
• Page Start: 106
• Page End: 110
• Publication Date: 2022-06-18
• Subjects: total ankle arthroplasty -- ankle replacement -- ankle fusion -- takedown -- fibula insufficiency; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- surgery -- Periodicals; 617.584
• DOI: 10.1097/BTF.0000000000000325
• Languages: English
• ISSNs: 1536-0644

Abstract

Abstract : Conversion of symptomatic ankle arthrodesis to total ankle arthroplasty is becoming more common. Lateral fibula insufficiency has historically been considered a contraindication for arthrodesis takedown and conversion arthroplasty. Studies have described several methods for restoring an adequate lateral buttress but reported mixed results. The authors describe a novel technique tip for a single-procedure conversion of tibiotalocalcaneal arthrodesis to total ankle arthroplasty in the setting of fibular deficiency. The described technique uses unique templating and bone cuts and can be successfully replicated in these challenging cases. Level of Evidence: Level V—expert opinion.