Takedown of ankle fusion and conversion to total ankle replacement

Clinical Orthopaedics and Related Research
Justin GreisbergSigvard T Hansen

Abstract

The painful ankle arthrodesis is an unsolved clinical problem. In many cases, transtibial amputation may be the best option for functional recovery. Recent reports of early success with second generation ankle implants show takedown of the problematic ankle fusion and conversion to total ankle arthroplasty may be an alternative to amputation. This study is a retrospective review of 23 ankles in 22 patients scheduled to have this procedure. Four patients were lost to followup, leaving 19 ankles in 18 patients at an average followup of 39 months. Three patients chose to have an amputation because of continued pain. In the remaining 16 ankles, the mean AOFAS ankle-hind foot outcome score improved from 42-68. Patients who had a clear source of pain with the ankle arthrodesis (such as subtalar arthrosis) had a better result than patients without a clear source of pain. All the patients who had the lateral malleolus resected during previous arthrodesis had complicated courses after arthroplasty. For patients with a definable source of pain and who have not had previous malleolar resection, conversion of a failed ankle arthrodesis to total ankle arthroplasty may be a viable alternative to amputation.

References

Nov 1, 1979·The Journal of Bone and Joint Surgery. British Volume·A Jackson, M Glasgow
Dec 1, 1991·Acta Orthopaedica Scandinavica·C G MoranS R Smith
Feb 1, 1981·Acta Orthopaedica Scandinavica·A Ahlberg, A S Henricson
Feb 1, 1981·Acta Orthopaedica Scandinavica·G N Boobbyer
Jul 1, 1994·Foot & Ankle International·H B KitaokaM Sanders
Jan 16, 1998·Foot & Ankle International·J S WayneR S Adelaar
May 19, 1998·Clinical Orthopaedics and Related Research·L DemetriadesJ Gallina
May 19, 1998·Clinical Orthopaedics and Related Research·G P DereymaekerA De Ferm
May 19, 1998·Clinical Orthopaedics and Related Research·N A Felix, H B Kitaoka
Sep 3, 1999·Foot & Ankle International·M H Perlman, D B Thordarson
Feb 24, 2001·The Journal of Bone and Joint Surgery. American Volume·L M CoesterW Pontarelli
Oct 18, 2001·Clinical Orthopaedics and Related Research·S F Conti, Y S Wong
Aug 15, 2002·The Journal of Bone and Joint Surgery. American Volume·Atul B JoshiJohn C M Murphy
Aug 15, 2002·The Journal of Bone and Joint Surgery. American Volume·Michael J GardnerJoseph M Lane
May 6, 2003·The Journal of Bone and Joint Surgery. British Volume·P L R Wood, S Deakin

❮ Previous
Next ❯

Citations

Apr 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Beat HintermannVictor Valderrabano
Jul 11, 2009·Foot & Ankle International·Charles L SaltzmanMichael J Coughlin
Oct 2, 2007·The Journal of Bone and Joint Surgery. British Volume·P CulpanT Judet
Apr 6, 2016·Foot & Ankle Specialist·William P HuntingtonRobert Anderson
Oct 23, 2018·Foot & Ankle International·Elizabeth A CodyJames A Nunley
Aug 9, 2020·Foot & Ankle International·Ryan G RogeroSteven M Raikin
Mar 25, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Alice Chu, Lon Weiner
Mar 18, 2010·The Journal of Bone and Joint Surgery. American Volume·Beat HintermannVictor Valderrabano
Mar 31, 2015·Case Reports in Orthopedics·Dominik RogBarth Riedel
May 16, 2014·BMJ Case Reports·Tun Hing Lui
Feb 13, 2016·Drug and Therapeutics Bulletin
Sep 15, 2011·The Journal of Bone and Joint Surgery. American Volume·Mark E EasleyJames K DeOrio
Apr 21, 2017·Clinical Orthopaedics and Related Research·Markus PreisAlexej Barg
Aug 29, 2018·JBJS Reviews·Elizabeth A CodyMark E Easley
Jul 27, 2016·JBJS Essential Surgical Techniques·Manuel J PellegriniMark E Easley
Sep 22, 2012·Foot & Ankle International·Sandro GianniniFrancesca Vannini
Feb 18, 2020·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·John M SchuberthJerome K Steck
Jan 11, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Anson K ChuEric So
Mar 24, 2021·The Orthopedic Clinics of North America·J Chris CoetzeeRebecca Stone McGaver
Mar 22, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Federico G UsuelliCristian Indino
Aug 12, 2008·Foot and Ankle Clinics·Steven M Raikin, Venkat Rampuri
Feb 23, 2011·Foot and Ankle Clinics·Kalpesh S Shah, Alastair S Younger

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Foot & Ankle International
L B ChouJ W Van Manen
Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
Marek Napiontek, Krzysztof Pietrzak
Journal of Surgical Orthopaedic Advances
Jordan M LisellaArthur Manoli
© 2022 Meta ULC. All rights reserved