title: Management of Osseous and Soft-Tissue Ankle Equinus During Total Ankle Replacement.
abstract: Obtaining functional alignment of a total ankle replacement, including physiologic sagittal plane range of motion, is paramount for a successful outcome. This article reviews the literature on techniques available for correction of osseous and soft-tissue equinus at the time of index total ankle replacement. These techniques include anterior tibiotalar joint cheilectomy, posterior superficial muscle compartment lengthening, posterior ankle capsule release, and release of the posterior portions of the medial and lateral collateral ligament complexes. The rationale for these procedures and the operative sequence of events for these procedures are presented.
authors.affiliation: Orthopaedic Center, Gundersen Health System, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address: tsroukis@gundersenhealth.org.
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Roukis
authors.affiliation: Orthopaedic Center, Gundersen Health System, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA.
authors.forename: Devin C
authors.initials: DC
authors.lastname: Simonson
mesh_terms: D000125:Achilles Tendon / Q000601:surgery*; D000843:Ankle Joint / Q000503:physiopathology / Q000601:surgery*; D058737:Arthroplasty, Replacement, Ankle / Q000379:methods*; D003025:Clubfoot / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery*; D011095:Polyethylenes / Q000737:chemistry; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D018570:Risk Assessment; D016896:Treatment Outcome
chemical_list: D011095:Polyethylenes
keywords: Arthroplasty; Complications; Fixed bearing polyethylene insert; Prosthesis; Surgery