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Primary and Revision Total Ankle Replacement pp 241–255Cite as

The Role of Periarticular Osteotomies in Total Ankle Replacement

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Abstract

Careful radiographic assessment of the talar position, in all three planes, is mandatory to successfully replace an end-stage osteoarthritic ankle associated with a major deformity. As correcting resection cuts for the prosthesis may not be able to restore proper position of the talus within the ankle mortise and provide overall stability of the ankle, additional osteotomies above or below the ankle or selective fusions may be necessary to obtain a well-balanced ankle joint complex. Meticulous realignment of the forefoot and, if necessary, stabilization of the medial arch are also mandatory to achieve a good long-term outcome of total ankle replacement. In summary, the key to success is to use all treatment modalities necessary to restore appropriate alignment of the hindfoot complex.

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Authors and Affiliations

  1. Clinic of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Rheinstrasse 26, Liestal, 4410, Switzerland

    Beat Hintermann MD & Markus Knupp MD

Authors
  1. Beat Hintermann MD
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  2. Markus Knupp MD
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Corresponding author

Correspondence to Beat Hintermann MD .

Editor information

Editors and Affiliations

  1. Gundersen Health System, La Crosse, Wisconsin, USA

    Thomas S. Roukis

  2. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Gregory C. Berlet

  3. Wisconsin Foot and Ankle Institute, Marshfield, Wisconsin, USA

    Christopher Bibbo

  4. Orthopedic Foot and Ankle Center, Westerville, Ohio, USA

    Christopher F. Hyer

  5. Department of Orthopedics, University of British Columbia, Vancouver, British Columbia, Canada

    Murray J. Penner

  6. Foot and Ankle Center Karlsruhe, Karlsruhe, Germany

    Markus Wünschel

  7. Atlantic Foot & Ankle Center of Chesapeake, Chesapeake, Virginia, USA

    Mark A. Prissel

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© 2016 Springer International Publishing Switzerland

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Hintermann, B., Knupp, M. (2016). The Role of Periarticular Osteotomies in Total Ankle Replacement. In: Roukis, T., et al. Primary and Revision Total Ankle Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-24415-0_22

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  • DOI: https://doi.org/10.1007/978-3-319-24415-0_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24413-6

  • Online ISBN: 978-3-319-24415-0

  • eBook Packages: MedicineMedicine (R0)

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