Total Ankle Arthroplasty With Anatomic Lateral Ankle Stabilization (ATLAS) in Moderate and Severe Pre-operative Varus Alignment

A Novel Technique for Lateral Ankle Ligament Reconstruction with Total Ankle Total Talus Replacement

“…With respect to TAR procedures, just like joint replacements elsewhere in the body, achieving ligamentous stability and balance is critical to obtaining a pain-free and functional prosthetic joint for the patient with durable result. However, there is no consensus on the most optimal technique for performing a ligamentous reconstruction in a patient undergoing a TAR when asymmetric ligamentous laxity persists after appropriate metal component placement 10,11 . Rushing et al compared Brostrom-Gould with anatomic lateral ankle stabilization (ATLAS) procedures in patients undergoing TAR 11 .…”

“…However, there is no consensus on the most optimal technique for performing a ligamentous reconstruction in a patient undergoing a TAR when asymmetric ligamentous laxity persists after appropriate metal component placement 10,11 . Rushing et al compared Brostrom-Gould with anatomic lateral ankle stabilization (ATLAS) procedures in patients undergoing TAR 11 . They found a higher incidence of revision, reoperation, and recurrent instability with the Brostrom-Gould procedure compared with ATLAS procedure.…”

Total ankle replacement for treatment of complex congenital fibular hemimelia

“…There is, however, a lack of documentation for procedural techniques and outcomes in the setting of ankle-driven pathology with fibular deformity (9.10). Moreover, indications for total ankle arthroplasty continue to expand, with the ability to correct large deformity through implantation, or with ancillary procedures performed in conjunction with implantation (11,12). With improved technology and biomechanical advancements in total ankle joint arthroplasty, this procedure can be an efficous in the treatment of ankle-driven deformity and arthritis even in the setting of FH, with fibular, distal tibial and foot deformities.…”

Exploring the Possibilities of the Custom Total Ankle Total Talus Replacement (TATTR): Short-Form Technique for Adjunctive Lateral Ligamentous Reconstruction With TATTR

“… 5 , 8 Lateral ligamentous reconstruction has been described with favorable outcomes in conjunction with TAR. 6 Given the similarities between the TATTR and the TAR, one must assume that ligamentous stability must be achieved in both situations to ensure the most optimal outcome. Further contributing to ligamentous instability after TTR, during any procedure involving removal of the native talus bone (ie, TTR and TATTR), the talar attachment to the anterior talofibular ligament (ATFL) is released from the native talus, along with the anterior (deep) and posterior (superficial and deep) tibiotalar components of the deltoid ligament and underlying talocalcaneal ligaments.…”