Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Limb Salvage Techniques Following Failed Total Ankle Replacement

  • Chapter
  • First Online:
Primary and Revision Total Ankle Replacement

  • 1225 Accesses

Abstract

Catastrophic complications after total ankle replacement (TAR) is fortunately uncommon, but efforts to maintain limb length over higher-level amputations (i.e., below-knee or above-knee amputations) are indicated so that biomechanical performance is improved, prosthetic usage more compliant, and patient body image perception enhanced. Techniques for limb salvage include the use of ankle-level amputations, Ilizarov external circular ring fixation techniques, as well as local and free tissue transfers. Management of the failed total ankle replacement, especially those requiring soft-tissue coverage and limb salvage efforts, should only be performed by experienced surgeons and ideally in units where multidisciplinary support is available.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bibbo C, Ehrlich DA, Levin LS, Kovach SJ. Maintaining level of lower extremity amputation with tissue transfers. J Orthop Surg Adv. 2015;24(2):144–6.

    Google Scholar 

  2. Bibbo C, Patel DV, Haskell MD. Recombinant bone morphogenetic protein-2 (rhBMP-2) in high-risk ankle and hindfoot fusions. Foot Ankle Int. 2009;30(7):597–603.

    Article  PubMed  Google Scholar 

  3. Bibbo C, Haskell MD. Recombinant bone morphogenetic protein-2 (rhBMP-2) in high-risk foot and ankle surgery: techniques and preliminary results of a prospective, intention to treat study. Tech Foot Ankle Surg. 2007;6(2):71–9.

    Article  Google Scholar 

  4. Mechell RJ, Bibbo C. The role of bone morphogenetic protein in ankle and hindfoot fusions. Curr Orthop Prac. 2013;24:460–75.

    Google Scholar 

  5. Bibbo C, Nelson J, Ehrlich DA, Rougeaux B. Bone morphogenetic proteins: indications and uses. Clin Podiatr Med Surg. 2015;32(1):35–43.

    Article  PubMed  Google Scholar 

  6. Bibbo C. Revision ankle arthrodesis, chapter 20. In: Alexander IJ, Bluman EM, Greisberg JK, editors. Advanced reconstruction: foot and ankle 2. Chicago: American Academy of Orthopaedic Surgeons; 2015.

    Google Scholar 

  7. Guyton GP, Miller SD. Stem cells in bone grafting: trinity allograft with stem cells and collagen/beta-tricalcium phosphate with concentrated bone marrow aspirate. Foot Ankle Clin. 2010;15(4):611–9.

    Article  PubMed  Google Scholar 

  8. Bibbo C. A modification of the syme amputation to prevent post-operative heel pad migration. J Foot Ankle Surg. 2013;52(6):766–70.

    Article  PubMed  Google Scholar 

  9. Bibbo C. Reverse sural flap with bifocal Ilizarov technique for tibial osteomyelitis with bone and soft-tissue defects. J Foot Ankle Surg. 2014;53(3):344–9.

    Article  PubMed  Google Scholar 

  10. Nho SJ, Helfet DL, Rozbruch SR. Temporary intentional leg shortening and deformation to facilitate wound closure using the Ilizarov/Taylor spatial frame. J Orthop Trauma. 2006;20(6):419–24.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Marshfield Clinic, 1000 North Oak Ave., Marshfield, WI, 54449, USA

    Christopher Bibbo DO, DPM, FACS

  2. Division of Plastic Surgery, Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA

    Stephen J. Kovach MD

  3. Division of Plastic Surgery, Perelman Center For Advanced Medicine, 3400 Civic Center Boulevard, South Pavilion, Philadelphia, PA, 19104, USA

    Stephen J. Kovach MD

  4. Paul P. Magnuson Professor of Orthopedic Surgery, Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania, 3737 Market Street, 6th fl., Philadelphia, PA, 19104, USA

    L. Scott Levin MD, FACS

Authors
  1. Christopher Bibbo DO, DPM, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stephen J. Kovach MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. L. Scott Levin MD, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christopher Bibbo DO, DPM, FACS .

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

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Bibbo, C., Kovach, S.J., Levin, L.S. (2016). Limb Salvage Techniques Following Failed 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_35

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-24415-0_35

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24413-6

  • Online ISBN: 978-3-319-24415-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation