Ankle arthroplasty with preoperative coronal plane deformity: short-term results

Clinical Orthopaedics and Related Research
Andrew Haskell, Roger A Mann

Abstract

The treatment of coronal plane deformity during total ankle arthroplasty is understood poorly. This study tests the hypotheses that preoperative coronal plane malalignment and incongruence of the ankle can be corrected and maintained for 2 years with total ankle replacement, and that factors can be identified that place ankles at risk of having progressive edge-loading develop. Of 86 consecutive patients who had total ankle replacement, 35 had preoperative coronal plane alignment > or =10 degrees. Lateral ligament reconstruction was done in seven patients and superficial deltoid release was done in four patients at the time of ankle replacement. Ankles with talar and tibial deformities improved talar and tibial alignment toward a neutral weightbearing axis postoperatively. Ankles with only a talar deformity improved the talar alignment toward a neutral weightbearing axis postoperatively. No changes in alignment were shown during the subsequent 2 years. Postoperative ankle articulations were congruent. Patients with preoperative incongruent joints are 10 times more likely to have progressive edge-loading develop than patients with congruent joints. Surgeons must be attentive to coronal plane alignment during and after ankle repl...Continue Reading

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Citations

May 8, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Loretta B ChouRoger A Mann
Jul 18, 2009·Clinical Orthopaedics and Related Research·Alexia KarantanaSunil Dhar
Sep 17, 2009·Foot & Ankle International·Zachary VaupelPaul T Fortin
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Sep 21, 2013·Foot & Ankle International·Arno FriggVictor Valderrabano
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Jun 25, 2008·Haemophilia : the Official Journal of the World Federation of Hemophilia·G PastaL Solimeno
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Jul 8, 2011·Foot & Ankle International·Jeffrey A MannEric Horton
Nov 3, 2010·The Journal of Bone and Joint Surgery. British Volume·B S KimB Hintermann
Jun 28, 2012·Foot & Ankle International·Woo Jin ChoiJin Woo Lee
Feb 4, 2011·Foot & Ankle International·Daniel Ryssman, Mark S Myerson
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May 26, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Robin Queen
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Sep 28, 2017·Foot & Ankle International·Andrew HarstonJames A Nunley
Sep 4, 2018·Foot & Ankle International·Elizabeth A CodyJames K DeOrio
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Jun 28, 2012·Foot & Ankle International·Daniel B Ryssman, Mark S Myerson
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May 15, 2013·Foot & Ankle International·Robert FlavinJames W Brodsky

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