title: Fusion following failed total ankle replacement.
abstract: Although mid- to long-term results after total ankle replacement have improved because of available second- and third-generation devices, failure of total ankle replacement is still more common compared with total hip replacement and total knee replacement. The portfolio of available total ankle replacement revision component options is small. Furthermore, the bone stock of the tibiotalar region is scarce making it difficult and in some situations impossible to perform revision total ankle replacement. In these cases tibiotalar and tibiotalocalcaneal fusions are valuable options. This article describes which surgical procedures should be performed depending on the initial situation and gives detailed advice on surgical technique, postoperative care, and clinical results.
authors: Department of Orthopaedic Surgery, University Hospital Tübingen, Hoppe-Seyler-Street 3, Tübingen 72076, Germany. markus.wuenschel@uni-tuebingen.de
authors: Markus
authors: M
authors: Wünschel
authors: Ulf G
authors: UG
authors: Leichtle
authors: Carmen I
authors: CI
authors: Leichtle
authors: Christian
authors: C
authors: Walter
authors: Falk
authors: F
authors: Mittag
authors: Eva
authors: E
authors: Arlt
authors: Andreas
authors: A
authors: Suckel
mesh_terms: D000843:Ankle Joint / Q000503:physiopathology / Q000601:surgery*; D001174:Arthrodesis; D019643:Arthroplasty, Replacement; D003286:Contracture / Q000601:surgery; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D013380:Subtalar Joint / Q000601:surgery; D013628:Talus / Q000473:pathology; D016474:Weight-Bearing