Abstract
The most common reason for a revision total ankle replacement procedure is a painful,
stiff ankle even after the initial surgery. Limited and conflicting data are available
regarding the change in sagittal foot and ankle range of motion after revision total
ankle replacement surgery. We sought to determine whether revision total ankle replacements
would reduce compensatory midfoot range of motion. In determining this, a novel radiographic
measurement system with stable osseous landmarks is used. A retrospective medical
record review of patients who had undergone revision total ankle replacement from
January 2009 to June 2016 was performed. Thirty-three patients (33 ankles) underwent
revision total ankle replacement surgery and met the inclusion criteria with a mean
follow-up period of 28.39 ± 14.68 (range 2 to 59) months. Investigation of preoperative
and postoperative weightbearing lateral radiographic images was performed to determine
the global foot and ankle, isolated ankle, and isolated midfoot sagittal ranges of
motion. Statistical analysis revealed a significant increase in ankle range of motion
(p = .046) and a significant decrease in midfoot range of motion (p < .001) from preoperatively to postoperatively. The change in global foot and ankle
range of motion was not significant (p = .53). For this patient population, the increased ankle range of motion effectively
resulted in less compensatory midfoot range of motion.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: March 01, 2018
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
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© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.