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Managing Varus and Valgus Malalignment During Total Ankle Replacement

  • Mark A. Prissel
  • Murray J. Penner
  • Gregory C. Berlet
  • Christopher Bibbo
  • Christopher F. Hyer
  • Thomas S. Roukis
Chapter

Abstract

Frontal plane deformity is a frequent concern among surgeons performing total ankle replacement (TAR). Maintaining correct frontal plane stability is paramount to the initial success and ultimate longevity of the prosthesis. Inappropriate management of varus or valgus malalignment in primary TAR can result in early predictable failure requiring revision. The editors of this book are truly experts in management of the subtleties of TAR including an innate appreciation of the importance of proper management of frontal plane deformity. This chapter will function as an “ask the experts” panel with posed questions and offered responses by each panel member. The responses are truly “expert opinion” and are not intended to heavily reference peer-reviewed publications for validation, but rather detail each panelist’s experience from his own practice. Some of the concepts and responses detailed throughout this chapter may initially appear redundant; however, the repetitive echoing of expert understanding demonstrates the necessity for the novice or developing TAR surgeon to acknowledge the importance of these repeated themes and agreed tenets of the management of frontal plane deformity in TAR.

Keywords

Ankle arthritis Arthroplasty Instability Malalignment Replacement Tendon transfer 

References

  1. 1.
    Cornelis Doets H, van der Plaat LW, Klein JP. Medial malleolar osteotomy for the correction of varus deformity during total ankle arthroplasty: results in 15 ankles. Foot Ankle Int. 2008;29(2):171–7. Epub 2008/03/05.CrossRefPubMedGoogle Scholar
  2. 2.
    Haddad SL, Dedhia S, Ren Y, Rotstein J, Zhang LQ. Deltoid ligament reconstruction: a novel technique with biomechanical analysis. Foot Ankle Int. 2010;31(7):639–51. Epub 2010/07/29.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Mark A. Prissel
    • 1
  • Murray J. Penner
    • 2
    • 3
  • Gregory C. Berlet
    • 4
    • 5
  • Christopher Bibbo
    • 6
  • Christopher F. Hyer
    • 4
    • 7
  • Thomas S. Roukis
    • 8
  1. 1.Atlantic Foot & Ankle Center of ChesapeakeChesapeakeUSA
  2. 2.Department of OrthopaedicsUniversity of British ColumbiaVancouverCanada
  3. 3.Department of OrthopaedicsSt. Paul’s Hospital, Vancouver Coastal Health Authority and Providence Health CareVancouverCanada
  4. 4.Orthopedic Foot and Ankle CenterWestervilleUSA
  5. 5.Polaris Surgery CenterWestervilleUSA
  6. 6.Department of Orthopaedic SurgeryMarshfield ClinicMarshfieldUSA
  7. 7.Grant Medical Center Podiatric Medicine and Surgical ResidencyColumbusUSA
  8. 8.Orthopedic CenterGundersen Health SystemLa CrosseUSA

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