Perioperative complications and initial alignment of lateral approach total ankle arthroplasty
Recommended Citation
Devries JG, Derksen TA, Scharer BM, Limoni R. Perioperative Complications and Initial Alignment of Lateral Approach Total Ankle Arthroplasty. J Foot Ankle Surg. 2017;56(5):996-1000. DOI: 10.1053/j.jfas.2017.04.016
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.
Document Type
Article
PubMed ID
28645548