title: Salvage of a failed DePuy Alvine Total Ankle Prosthesis with Agility LP custom stemmed tibia and talar components.
abstract: This article presents a procedure whereby a second-phase design DePuy Alvine Total Ankle Prosthesis underwent revision to an Agility LP custom-designed stemmed tibial and talar component total ankle replacement system. The rationale for this procedure, the process of developing the custom components, the operative sequence of events, and recovery course are presented in detail. Causes for concern regarding subsequent revision, should this be required, are raised.
authors.affiliation: Department of Orthopaedics, Podiatry and Sports Medicine, Gundersen Lutheran Healthcare System, second Floor Founders Building, Mail Stop FB2-009, 1900 South Avenue, La Crosse, WI 54601, USA. tsroukis@gundluth.org
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Roukis
mesh_terms: D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery; D058737:Arthroplasty, Replacement, Ankle / Q000295:instrumentation* / Q000379:methods*; D017076:Computer-Aided Design / Q000295:instrumentation; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D007595:Joint Prosthesis; D008297:Male; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design / Q000295:instrumentation*; D011475:Prosthesis Failure; D017755:Prosthesis Fitting; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D016879:Salvage Therapy; D014057:Tomography, X-Ray Computed