Clinics in Podiatric Medicine and Surgery

Incidence of Complications During Initial Experience with Revision of the Agility and Agility LP Total Ankle Replacement Systems

July 31, 2015

As the frequency in which foot and ankle surgeons are performing primary total ankle replacement (TAR) continues to build, revision TAR will likely become more commonplace, creating a need for an established benchmark by which to evaluate the safety of revision TAR as determined by the incidence of complications. Currently, no published data exist on the incidence of intraoperative and early postoperative complications during revision of the Agility or Agility LP Total Ankle Replacement Systems during the surgeon learning curve period; therefore, the authors sought to determine this incidence during the senior author’s learning curve period.

Read the full article →

Management of Osseous and Soft-Tissue Ankle Equinus During Total Ankle Replacement

July 30, 2015

Obtaining functional alignment of a total ankle replacement, including physiologic sagittal plane range of motion, is paramount for a successful outcome.

Read the full article →

Use of Soft-Tissue Procedures for Managing Varus and Valgus Malalignment with Total Ankle Replacement

July 30, 2015

Achieving frontal plane alignment of the ankle joint during total ankle replacement is essential for long-term success.

Read the full article →

Arthroscopic Management of Complications Following Total Ankle Replacement

July 30, 2015

There is great potential of managing the complications of total ankle replacement arthroscopically and endoscopically, and these procedures can be summarized into 3 groups. Group 1 includes procedures of the ankle joint proper with close proximity to the articular components of the total ankle replacement. Group 2 includes procedures of the tibia and talus with close proximity to the nonarticular parts of the total ankle replacement.

Read the full article →

Total Ankle Replacement Survival Rates Based on Kaplan-Meier Survival Analysis of National Joint Registry Data

July 30, 2015

National joint registry data provides unique information about primary total ankle replacement (TAR) survival.

Read the full article →

Incidence of Complications During the Surgeon Learning Curve Period for Primary Total Ankle Replacement

July 30, 2015

Surgeons performing primary total ankle replacement have achieved outcomes comparable to ankle arthrodesis. However, while many reports exist suggesting the presence of a surgeon learning curve period during initial performance of primary total ankle replacement, no published analysis of the actual incidence of complications encountered during this period exists. Therefore, we sought to provide such an analysis through systematic review

Read the full article →

Salvage of a Failed Agility Total Ankle Replacement System Associated with Acute Traumatic Periprosthetic Midfoot Fractures

July 30, 2015

This article presents a rare case involving combined revision of a failed Agility Total Ankle Replacement System (DePuy Orthopaedics, Warsaw, Indiana) and open reduction with internal fixation of periprosthetic midfoot fractures secondary to acute traumatic injury.

Read the full article →

Management of Massive Hindfoot Osteolysis Secondary to Failed INBONE I Total Ankle Replacement

July 30, 2015

This article presents a procedure whereby a failed INBONE I saddle talar component and polyethylene insert associated with massive cystic changes within the talus and calcaneus secondary to aseptic osteolysis was treated with impaction cancellous allograft bone graft impregnated with autogenous proximal tibia bone marrow aspirate and conversion to an INBONE II sulcus talar component and polyethylene insert. Concomitantly, a percutaneous tendo-Achilles lengthening and posterior capsule release was performed to enhance ankle dorsiflexion. The rationale for these procedures, the operative sequence of events, and recovery course are presented in detail.

Read the full article →

The Salto Talaris XT Revision Ankle Prosthesis

July 30, 2015

The Salto Talaris XT Revision Ankle Prosthesis is an anatomically designed fixed-bearing prosthesis available in the United States based on the design of previous Salto systems. The Salto Talaris XT Revision Ankle Prosthesis design optimizes surface area, cortical contact, and ultrahigh-molecular-weight polyethylene conformity.

Read the full article →

Complications of Tendon Surgery in the Foot and Ankle

July 23, 2015

This article discusses four subsets of patients that have an increased risk of complications from tendon surgery in the foot and ankle: smokers, diabetics, and patients with peroneal or Achilles tendon pathology.

Read the full article →