title: Tibio-talo-calcaneal arthrodesis with retrograde compression intramedullary nail fixation for salvage of failed total ankle replacement: a systematic review.
abstract: Failed total ankle replacement is a complex problem that should only be treated by experienced foot and ankle surgeons. Significant bone loss can preclude revision total ankle replacement and obligate revision though a complex tibio-talo-calcaneal arthrodesis. A systematic review of the world literature reveals a nonunion rate of 24.2%. A weighted mean of modified American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Scale demonstrated fair patient outcomes of 58.1 points on an 86-point scale (67.6 points on a 100-point scale). Complications were observed in 38 of 62 (62.3%) patients reviewed, with the most common complication being nonunion.
authors: Department of Orthopaedics, Section of Podiatry, Gundersen Lutheran Medical Foundation, La Crosse, WI 54601, USA.
authors: Michael P
authors: MP
authors: Donnenwerth
authors: Thomas S
authors: TS
authors: Roukis
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001858:Bone Nails; D016025:Bone Transplantation; D002111:Calcaneus / Q000601:surgery*; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D013628:Talus / Q000601:surgery*; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult