Advertisement

Revision Total Ankle Arthroplasty: Complications and Results

  • Inmaculada Moracia-Ochagavía
  • E. Carlos Rodríguez-Merchán
Chapter

Abstract

Revision total ankle arthroplasty (RTAA) is complex and not without complications. There can be low-grade complications that do not generally imply implant failure or new revision surgeries, or high-grade complications that can worsen the prognosis and survival of the implants. Loosening and sinking of the components is the most feared complication as well as deep infection. We must understand how to prevent them as well as know the optimal treatment to perform if they appear. The functional results are generally satisfactory with great improvement in terms of pain and recovery of previous activity. It is important that the surgery is performed by surgeons who are experts in prosthetic ankle surgery to reduce the rate of complications and improve the survival of the implants. There are also new implants on the market, such as INBONE II total ankle replacement and Invision talar component, which can help us treat cases with bone stock deficit in both the distal tibia and talus.

Keywords

Revision total ankle arthroplasty Failed total ankle arthroplasty Complications Inbone II total ankle replacement system Results 

References

  1. 1.
    Williams JR, Wegner NJ, Sangeorzan BJ, Brage ME. Intraoperative and perioperative complications during revision arthroplasty for salvage of a failed total ankle arthroplasty. Foot Ankle Int. 2015;36:135–42.CrossRefGoogle Scholar
  2. 2.
    Wooster BM, Grimm NL, DeOrio JK, Mithani SK. Iatrogenic Arteriovenous Fistula with associated pseudoaneuryms of posterior tibial artery after revision total ankle arthroplasty: a case report. J Foot Ankle Surg. 2017;56:75–7.CrossRefGoogle Scholar
  3. 3.
    Glazebrook M, Arsenault K, Dunbar M. Evidence-based classification of complications in total ankle arthroplasty. Foot Ankle Int. 2009;30:945–9.CrossRefGoogle Scholar
  4. 4.
    Gadd RJ, Barwick TW, Paling E, Davies MB, Blundell CM. Assessment of a three-grade classification of complications in total ankle replacement. Foot Ankle Int. 2014;35:434–7.CrossRefGoogle Scholar
  5. 5.
    Roukis TS, Simonson DC. Incidence of complications during initial experience with revision of the Agility and Agility LP total ankle replacement systems: A single surgeon’s learning curve experience. Clin Podiatr Med Surg. 2015;32:569–93.CrossRefGoogle Scholar
  6. 6.
    Cody EA, Lachman JR, Gausden EB, Nunley JA 2nd, Easley ME. Lower bone density on preoperative computed tomography predicts periprosthetic fracture risk in total ankle arthroplasty. Foot Ankle Int. 2019;40(1):1–8.CrossRefGoogle Scholar
  7. 7.
    Hsu AR, Franceschina D, Haddad SL. A novel method of postoperative wound care following total ankle arthroplasty. Foot Ankle Int. 2014;35:719–24.CrossRefGoogle Scholar
  8. 8.
    Myerson MS, Aiyer AA, Ellington JK. Revision total ankle arthroplasty. JBJS essential surgical techniques. Based in original article. J Bone Joint Surg Am. 2013;95:2112–8.CrossRefGoogle Scholar
  9. 9.
    Hintermann B, Zwicky L, Knupp M, Henninger HB, Barg A. HINTEGRA revision arthroplasty for failed total ankle prostheses. J Bone Joint Surg Am. 2013;95-A:1166–74.CrossRefGoogle Scholar
  10. 10.
    Hordyk PJ, Fuerbringer BA, Roukis TS. Sagittal ankle and midfoot range of motion before and after revision total ankle replacement: a retrospective comparative analysis. J Foot Ankle Surg. 2018;57:521–6.CrossRefGoogle Scholar
  11. 11.
    Horisberger M, Henninger HB, Valderrabano V, Barg A. Bone augmentation for revision total ankle arthroplasty with large bone defects. A technical note on 10 cases. Acta Orthop. 2015;86:412–4.CrossRefGoogle Scholar
  12. 12.
    Lachman JR, Ramos JA, Adams SB, Nunley JA, Easley ME, DeOrio JK. Patient-reported outcomes before and after primary and revision total ankle arthroplasty. Foot Ankle Int. 2019;40(1):34–41.CrossRefGoogle Scholar
  13. 13.
    Ellington JK, Gupta S, Myerson MS. Management of failures of total ankle replacement with the Agility total ankle arthroplasty. J Bone Joint Surg. 2013;95-A:2112–8.CrossRefGoogle Scholar
  14. 14.
    Pagenstert G, Wimmer MD, Jacxsens M, Saltzman CL, Barg A. Aseptic loosening of total ankle replacement: one-stage revision ankle arthroplasty (Article in German). Oper Orthop Traumatol. 2017;29:220–35.CrossRefGoogle Scholar
  15. 15.
    Koo K, Liddle AD, Pastides PS, Rosenfeld PF. The Salto total ankle arthroplasty—clinical and radiological outcomes at five years. Foot Ankle Surg. 2018. pii: S1268-7731(18)30131-0.  https://doi.org/10.1016/j.fas.2018.04.003.
  16. 16.
    Clough T, Bodo K, Majeed H, Davenport J, Karski M. Survivorship and long-term outcome of a consecutive series of 200 Scandinavian Total Ankle Replacement (STAR) implants. Bone Joint J. 2019;101-B:47–54.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Inmaculada Moracia-Ochagavía
    • 1
  • E. Carlos Rodríguez-Merchán
    • 2
  1. 1.Department of Orthopedic Surgery“La Paz” University Hospital-IdiPazMadridSpain
  2. 2.Department of Orthopedic Surgery“La Paz” University HospitalMadridSpain

Personalised recommendations