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Perioperative Complications and Initial Alignment of Lateral Approach Total Ankle Arthroplasty

Abstract Total ankle replacement continues to become a more common treatment of end-stage ankle arthritis. A lateral approach total ankle implant system is an innovative approach for this treatment. We performed a retrospective review of 16 patients treated with lateral approach total ankle replacem...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2017-09, Vol.56 (5), p.996-1000
Main Authors: DeVries, J. George, DPM, FACFAS, Derksen, Todd A., DPM, FACFAS, Scharer, Brandon M., DPM, FACFAS, Limoni, Robert, MD
Format: Article
Language:English
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Summary:Abstract Total ankle replacement continues to become a more common treatment of end-stage ankle arthritis. A lateral approach total ankle implant system is an innovative approach for this treatment. We performed a retrospective review of 16 patients treated with lateral approach total ankle replacement. The implant was successful and retained in all cases during a follow-up period of 769 ± 221.3 days (25.3 ± 7.3 months). Initial satisfactory alignment was achieved in all cases. For patients in whom a frontal plane incongruent deformity was present preoperatively, a statistically significant correction was obtained ( p  = .0122). Three cases of delayed or nonunion of the fibula (18.8%) occurred, and one case of infection that led to removal of the fibular plate developed, for a total of 4 complications (25.0%) related to the fibular osteotomy. Our findings indicate that lateral approach total ankle replacement is effective with unique advantages and disadvantages for treating end-stage ankle arthritis.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2017.04.016