Perioperative Complications and Initial Alignment of Lateral Approach Total Ankle Arthroplasty

DeVries, J. George; Derksen, Todd A.; Scharer, Brandon M.; Limoni, Robert

doi:10.1053/j.jfas.2017.04.016

Cited by 32 publications

(33 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This implant was designed to allow the implant trough lateral approach. The main objective was to introduce a prosthesis that could decrease surgical complication linked to delayed wound healing and to aid the surgeon who was more familiar with the lateral approach used for ankle arthrodesis [10]. Furthermore, this model is equipped with trabecular metal material, which was developed to simulate the normal architecture of the cancellous bone.…”

Section: Discussionmentioning

confidence: 99%

“…A major concern with the lateral approach TAR is associated with fibular osteotomy and ligament sectioning [20]. DeVries et al reported in a previous study of 16 patients with Zimmer TM TAR, good overall alignment even with valgus or varus hindfoot deformity [10]. However, 4 patients (25%) experienced complications related to the fibular osteotomy (non-union, delayed union, infection).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Early clinical and radiological evaluation in patients with total ankle replacement performed by lateral approach and peroneal osteotomy

Bianchi

Martinelli

Hosseinzadeh

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background The Zimmer Trabecular Metal Total Ankle Replacement (Zimmer TM TAR) is a recent ankle arthroplasty approved for use in the United States and Europe. Many of the studies reporting the results of this implant are provided by surgeons involved at least in the initial design of the implant under study. The aim of this study is to describe the early clinical and radiological outcomes in patients who underwent this procedure performed by non-designer surgeons. Methods A total of thirty consecutive patients underwent total ankle replacement with a Zimmer TM TAR surgery between July 2013 to January 2016.All clinical assessments were collected pre- and post-operatively with minimum follow-up of 12 months for each patient using the American Orthopedic Foot and Ankle (AOFAS) score, the Foot Function Index (FFI) and a visual analogue scale (VAS) for pain. Radiographic outcomes included ankle orientation assessed with angle “α”,“β” and “γ” according to Wood. Furthermore, the anteroposterior offset ratio was measured in weight-bearing lateral ankle radiographs at the last follow-up. Results The mean preoperative FFI-pain (FFI-P) value was 53.67, the FFI-disability (FFI-D) was 64.19. At the last follow-up visit, the FFI-P and FFI-D was 16.95 and 20.76 respectively ( p <0.01 for the both scales). Preoperatively, the mean VAS for pain and AOFAS score was 7.81 and 40.95 respectively, and at the last follow-up 2.29 and 86.38 ( p <0.01 for the both scales). The mean angle calculated using Wood and Deakin’s method were “α”= 89.02°, “β”= 85.11 and “γ”= 27.54 post-operatively. At the last follow-up the same values were respectively 89.43, 85.18 and 29.94. At the last follow-up, the mean offset ratio was 0.06 (range 0.003/-0.17). Conclusions These early results show high levels of patient satisfaction, and we are encouraged to continue with lateral approach total ankle arthroplasty.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Early clinical and radiological evaluation in patients with total ankle replacement performed by lateral approach and peroneal osteotomy

Bianchi

Martinelli

Hosseinzadeh

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…An additional strength is the relatively large study cohort of 67 cases in comparison to many other initial device reports. 29,[37][38][39][40] The study is limited by the availability of preoperative PRO scores in only 39% of the cases. In addition, objective range-of-motion data were not available, nor objective physical ability measures (eg, gait analysis).…”

Section: Discussionmentioning

confidence: 99%

The Infinity Total Ankle System: Early Clinical Results With 2- to 4-Year Follow-up

Penner

Davis

Wing

et al. 2018

Foot & Ankle Specialist

View full text Add to dashboard Cite

show abstract

“…Wound breakdown is one of the major complications of TAA. The lateral approach TAA is a method that can be used when there are significant pre-existing anterior wound complications [115]. This lateral approach can reliably correct alignment especially through the fibular osteotomy; however, this may result in more complications [116].…”

Section: Surgicalmentioning

confidence: 99%

Management of Posttraumatic Ankle Arthritis: Literature Review

Ewalefo

Dombrowski

Hirase

et al. 2018

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Purpose of Review Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications. Recent Findings Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint. Regarding surgical management of posttraumatic ankle arthritis, osteochondral allograft transplantation of the talus, and supramalleolar osteotomies have demonstrated promising results. Additionally, the outpatient setting was found to be appropriate for managing pain following total ankle arthroplasty, associated with low complication rates and no readmission. Summary Management for posttraumatic ankle arthritis is generally progressive. Initial treatment entails nonpharmacologic options with surgery reserved for posttraumatic ankle arthritis refractory to conservative treatment. Patient demographics and lifestyles should be carefully considered when formulating a management strategy, as outcomes are dependent upon the satisfaction of each set of respective criteria. Ultimately, the management of posttraumatic ankle arthritis should be individualized to satisfy the needs and desires, which are specific to each patient.

show abstract

Perioperative Complications and Initial Alignment of Lateral Approach Total Ankle Arthroplasty

Cited by 32 publications

References 20 publications

Early clinical and radiological evaluation in patients with total ankle replacement performed by lateral approach and peroneal osteotomy

Early clinical and radiological evaluation in patients with total ankle replacement performed by lateral approach and peroneal osteotomy

The Infinity Total Ankle System: Early Clinical Results With 2- to 4-Year Follow-up

Management of Posttraumatic Ankle Arthritis: Literature Review

Contact Info

Product

Resources

About