Malleolar fracture after total ankle arthroplasty: a comparison of two designs

Clinical Orthopaedics and Related Research
William C McGarveyDavid Lunz

Abstract

There has been a resurgence in the treatment of end-stage tibiotalar arthritis with prosthetic replacement. This procedure has highlighted numerous complications including malleolar fracture. We wanted to determine the clinical relevance of malleolar fracture with the two most commonly used implants in the United States. We retrospectively compared the first 20 STAR with the first 25 Agility total ankle arthroplasties done by two surgeons. We examined the fracture rate, the timing, location, and treatment of the fracture, and the outcome in each group. In the Agility group, five fractures occurred, all intraoperatively. Four involved the medial malleolus and one involved the lateral malleolus. All fractures were fixed as implant stability was compromised. In the STAR group, there were four fractures. Two lateral malleoli fractured intraoperatively and were fixed. Two medial malleoli fractures occurred postoperatively and were treated nonoperatively. There was one medial malleolar nonunion in each group. The incidence of malleolar fracture was 20% in each group, comparable to results reported in relevant literature. We highlight some of the causes of malleolar fracture and describe our technique of prophylactic malleolar pinning...Continue Reading

References

Nov 1, 1985·The Journal of Bone and Joint Surgery. British Volume·B G Bolton-MaggsM A Freeman
Nov 1, 1996·The Journal of Bone and Joint Surgery. American Volume·H B Kitaoka, G L Patzer
Aug 5, 2000·Foot & Ankle International· Wood PLRS Jari
Oct 18, 2001·Clinical Orthopaedics and Related Research·S F Conti, Y S Wong
Jan 24, 2003·Foot & Ankle International·Mark S Myerson, Kenneth Mroczek

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Citations

Jul 18, 2009·Clinical Orthopaedics and Related Research·Alexia KarantanaSunil Dhar
Jan 14, 2010·Foot & Ankle International·Alexia KarantanaSunil Dhar
Sep 15, 2011·The Journal of Bone and Joint Surgery. American Volume·Mark E EasleyJames K DeOrio
Oct 7, 2011·Foot & Ankle International·Sudheer C ReddyDevin R Mangold
Apr 2, 2009·The Journal of Bone and Joint Surgery. British Volume·S A HobsonS Dhar
May 8, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Loretta B ChouRoger A Mann
Jul 2, 2015·The Bone & Joint Journal·S TsitsilonisS Manegold
Mar 5, 2008·Foot & Ankle International·B G Schutte, J W K Louwerens
Jan 9, 2007·International Orthopaedics·Harish V Kurup, Graeme R Taylor
Jun 22, 2011·Zeitschrift für Rheumatologie·S Schill, R Wetzel
Sep 17, 2009·Foot & Ankle International·Richard J Claridge, Bernard H Sagherian
Dec 30, 2010·Foot & Ankle International·Joost M ReuverNiek Tulp
Feb 6, 2010·Foot & Ankle International·Alexia KarantanaSunil Dhar
Apr 8, 2016·Foot & Ankle International·Gregory A Lundeen, Linda J Dunaway
May 7, 2019·Foot & Ankle International·Noriyuki KanzakiRyosuke Kuroda
Dec 5, 2014·The Journal of Bone and Joint Surgery. American Volume·Samuel B AdamsJames A Nunley
May 18, 2010·Clinics in Podiatric Medicine and Surgery·Lawrence A DiDomenicoLaurence Z Cain

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