title: Failure of the Agility total ankle replacement system and the salvage options.
abstract: The Agility total ankle replacement system was the most commonly performed implant in the United States for more than 20 years and has undergone four generations and seven phases of improvement. Much attention has been placed on intraoperative complications, such as malleolar fracture; nerve or tendon injury; and incision healing-related problems, such as wound coverage and infection. However, it is the intermediate- and long-term complications (ie, aseptic osteolysis, subsidence, component loosening, and progressive malalignment) that require careful consideration, because the revision options remain limited. This article reviews the history of the Agility total ankle replacement system in detail, to understand the revision possibilities available.
authors: The Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, MD 21202, USA.
authors: Graham
authors: G
authors: McCollum
authors: Mark S
authors: MS
authors: Myerson
mesh_terms: D000843:Ankle Joint / Q000473:pathology; D019643:Arthroplasty, Replacement / Q000379:methods; D001845:Bone Cysts / Q000000981:diagnostic imaging; D049673:History, 20th Century; D006801:Humans; D007595:Joint Prosthesis / Q000266:history; D011095:Polyethylenes / Q000627:therapeutic use; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D016879:Salvage Therapy; D013628:Talus / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D011095:Polyethylenes; C111601:ultra-high molecular weight polyethylene