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Review
. 2020 Jul;37(3):489-504.
doi: 10.1016/j.cpm.2020.03.004. Epub 2020 May 11.

Revision Surgery for Failed Total Ankle Replacement

Affiliations
Review

Revision Surgery for Failed Total Ankle Replacement

Byron Hutchinson et al. Clin Podiatr Med Surg. 2020 Jul.

Abstract

Revision surgery for failed total ankle replacement is a challenge to the revision surgeon. Deformity, presence of infection, segmental bone defects, patient comorbidities, and soft tissue compromise all are significant considerations when determining appropriate procedures. Revision total ankle replacement, explant and fusion with or without lengthening, use of a trabecular metal cage, placement of an antibiotic cement spacer, grafting, and amputation all are viable options to treat patients with failed ankle arthroplasty.

Keywords: Circular fixation; Custom trabecular metal cages; Femoral head allograft; Segmental bone defect; Total ankle replacement.

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