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.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: June 20, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: J.G.D. and B.S. are consultants with Bioventus; T.A.D. is a consultant with Stryker.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
