Current techniques in total ankle arthroplasty
Cottom JM, DeVries JG, Hyer CF, McAlister JE, Sorensen MD. Current Techniques in Total Ankle Arthroplasty. Clin Podiatr Med Surg. 2022;39(2):273-293. doi:10.1016/j.cpm.2021.11.012
Total ankle replacement (TAR) continues to increase in popularity as a motion-preserving option to ankle arthrodesis. TAR is indicated for primary, posttraumatic and inflammatory arthropathies as an alternative procedure to tibiotalar arthrodesis. Proper patient selection is paramount to a successful outcome in TAR. Contraindications to TAR include the presence of neuropathy, active infection, severe peripheral arterial disease, inadequate bone stock, and severe uncorrectable coronal plane deformity. This article is a brief overview of techniques and PEARLS on how to address a well-aligned ankle joint, varus deformity as well as valgus deformities as well as the authors' experience with single versus staging coronal plane deformities.