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BOOK
Current Updates in Total Ankle Arthroplasty, An Issue of Foot and Ankle Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Foot and Ankle Clinics will include articles on the following: Ankle replacement vs, arthrodesis; Osteolysis; coronal plane malalignment in total ankle arthroplasty; salvage of failed total ankle arthroplasty with anterior translation of the talus; malalignment of the foot or leg; use of tendon transfers; management of the failed long-stemmed custom agility total ankle arthroplasty; and many more articles surrounding foot and ankle arthroplasty.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Current Updates in TotalAnkle Arthroplasty\r | i | ||
Copyright\r | ii | ||
Editorial Advisory Board | iii | ||
Contributors | v | ||
CONSULTING EDITOR | v | ||
EDITOR | v | ||
AUTHORS | v | ||
Contents | ix | ||
Preface | ix | ||
Kinematics and Function of Total Ankle Replacements Versus Normal Ankles | ix | ||
Ankle Arthrodesis Versus Total Ankle Arthroplasty | ix | ||
Osteolysis in Total Ankle Replacement: How Does It Work? | ix | ||
Total Ankle Replacement in the Presence of Talar Varus or Valgus Deformities\r | ix | ||
Current Update in Total Ankle Arthroplasty: Salvage of the Failed Total Ankle Arthroplasty with Anterior Translation of the ... | x | ||
Malalignment Correction of the Lower Limb Before, During, and After Total Ankle Arthroplasty | x | ||
Revision of Stemmed Agility Implants | x | ||
Management of Talar Component Subsidence | x | ||
Soft Tissue Reconstruction After Total Ankle Arthroplasty | xi | ||
How To Diagnose and Treat Infection in Total Ankle Arthroplasty | xi | ||
Dealing with the Stiff Ankle: Preoperative and Late Occurrence | xi | ||
Experience with Navigation in Total Ankle Arthroplasty. Is It Worth the Cost? | xi | ||
Is There Anything to Learn from a National Joint Registry? | xii | ||
Pearls and Pitfalls for a Surgeon New to Ankle Replacements | xii | ||
FOOT AND ANKLE CLINICS\r | xiii | ||
FORTHCOMING ISSUES | xiii | ||
September 2017 | xiii | ||
December 2017 | xiii | ||
March 2018 | xiii | ||
RECENT ISSUES | xiii | ||
March 2017 | xiii | ||
December 2016 | xiii | ||
September 2016 | xiii | ||
Preface | xv | ||
Kinematics and Function of Total Ankle Replacements Versus Normal Ankles | 241 | ||
Key points | 241 | ||
INTRODUCTION | 241 | ||
BIOMECHANICS AND ANATOMY | 242 | ||
CLINICAL OUTCOMES | 242 | ||
GAIT ANALYSIS | 243 | ||
Temporal Spatial Parameters of Gait | 243 | ||
Kinematic Parameters of Gait | 244 | ||
Kinetic Parameters of Gait | 244 | ||
THE DEBATE: MOBILE-BEARING VERSUS FIXED-BEARING IMPLANTS | 245 | ||
SUMMARY | 246 | ||
REFERENCES | 246 | ||
Ankle Arthrodesis Versus Total Ankle Arthroplasty | 251 | ||
Key points | 251 | ||
INTRODUCTION | 251 | ||
ANKLE ARTHRODESIS | 252 | ||
Contraindications | 252 | ||
Technique | 252 | ||
Outcomes | 256 | ||
Pain relief | 256 | ||
Union rates | 256 | ||
Gait biomechanics | 256 | ||
Periarticular degeneration | 256 | ||
ANKLE ARTHROPLASTY | 256 | ||
Indications and Contraindications | 257 | ||
Survivorship | 257 | ||
Comorbidities | 259 | ||
Smoking | 259 | ||
Clinical Outcomes | 259 | ||
Infections | 260 | ||
Postoperative Range of Motion | 260 | ||
SUMMARY | 260 | ||
REFERENCES | 263 | ||
Osteolysis in Total Ankle Replacement | 267 | ||
Key points | 267 | ||
INTRODUCTION | 267 | ||
CONTEMPORARY TOTAL ANKLE REPLACEMENT DESIGNS | 268 | ||
OSTEOLYSIS IN TOTAL ANKLE REPLACEMENT | 268 | ||
QUESTIONING POLYETHYLENE DEBRIS–INDUCED PERIPROSTHETIC OSTEOLYSIS | 268 | ||
THEORIES TO EXPLAIN PERIPROSTHETIC OSTEOLYSIS | 269 | ||
The Role of Polyethylene Wear | 269 | ||
Rate of Wear and Joint Size | 270 | ||
The Role of Micromotion | 270 | ||
The Role of Fluids | 272 | ||
Individual Factors: Genetics | 273 | ||
SUMMARY | 273 | ||
REFERENCES | 273 | ||
Total Ankle Replacement in the Presence of Talar Varus or Valgus Deformities | 277 | ||
Key points | 277 | ||
INTRODUCTION | 277 | ||
CLASSIFICATION OF DEFORMITY | 278 | ||
PREOPERATIVE ASSESSMENT | 280 | ||
History and Physical Examination | 280 | ||
Diagnostic Imaging | 282 | ||
VARUS DEFORMITY | 284 | ||
Medial Release | 284 | ||
Intra-Articular Deformity Correction | 286 | ||
Tendoachilles Lengthening | 289 | ||
Extra-Articular Deformity Correction | 289 | ||
Malleolar Osteotomy | 289 | ||
First Metatarsal Osteotomy | 289 | ||
Supramalleolar Osteotomy | 290 | ||
Calcaneal Osteotomy | 290 | ||
Tendon Transfers | 291 | ||
Lateral Ligament Reconstruction | 292 | ||
Hindfoot Arthrodesis | 292 | ||
VALGUS DEFORMITY | 293 | ||
Intra-Articular Deformity | 293 | ||
Deltoid Ligament Insufficiency | 293 | ||
Lateral Ligament Reconstruction | 296 | ||
Hindfoot Arthrodesis | 296 | ||
Pes Planovalgus Reconstruction | 296 | ||
Malleolar Osteotomy | 296 | ||
Syndesmotic Stabilization | 297 | ||
Supramalleolar Osteotomy | 297 | ||
THE PING-PONG ANKLE | 297 | ||
THE ROLE OF STAGING | 299 | ||
SUMMARY | 299 | ||
REFERENCES | 299 | ||
Current Update in Total Ankle Arthroplasty | 301 | ||
Key points | 301 | ||
INTRODUCTION | 301 | ||
CLINICAL EXAMINATION | 303 | ||
PREOPERATIVE INVESTIGATIONS | 304 | ||
OPERATIVE MANAGEMENT | 304 | ||
Preparation | 304 | ||
Procedures with Retention of Both Components | 304 | ||
Procedure: equinus deformity | 305 | ||
Procedure: lateral ligament reconstruction | 305 | ||
Procedure: distal tibial osteotomy | 305 | ||
Revision of the Talar Component Alone | 305 | ||
Procedure: tibial component revision | 305 | ||
Revision of Both Components | 306 | ||
Procedure: revision both components | 306 | ||
Outcomes | 309 | ||
SUMMARY | 309 | ||
REFERENCES | 309 | ||
Malalignment Correction of the Lower Limb Before, During, and After Total Ankle Arthroplasty | 311 | ||
Key points | 311 | ||
INTRODUCTION | 311 | ||
CLINICAL EVALUATION | 313 | ||
TREATMENT AND CONSIDERATION OF DEFORMITY | 315 | ||
DEFORMITY PROXIMAL TO THE ANKLE JOINT | 316 | ||
DEFORMITY OF THE FOOT DISTAL TO THE ANKLE | 318 | ||
CONSIDERATIONS WHEN PERFORMING ADJUNCTIVE PROCEDURES | 322 | ||
INTRAOPERATIVE CONSIDERATIONS | 324 | ||
Varus Ankle | 324 | ||
Valgus Ankle | 327 | ||
Recurvatum | 331 | ||
Procurvatum | 332 | ||
Multiplanar | 334 | ||
AVOIDING POSTOPERATIVE DISASTER | 336 | ||
SUMMARY | 338 | ||
REFERENCES | 338 | ||
Revision of Stemmed Agility Implants | 341 | ||
Key points | 341 | ||
INTRODUCTION | 341 | ||
BACKGROUND | 342 | ||
SURGICAL TECHNIQUE | 347 | ||
OUTCOMES | 355 | ||
SUMMARY | 359 | ||
REFERENCES | 359 | ||
Management of Talar Component Subsidence | 361 | ||
Key points | 361 | ||
INTRODUCTION | 361 | ||
CAUSE OR RISK FACTORS FOR SUBSIDENCE | 362 | ||
Component Migration | 362 | ||
Osteolysis | 362 | ||
Component Design Factors | 363 | ||
Increasing of Talar Surface Coverage: Agility/Agility LP | 363 | ||
Improvement of Talar Component Articulating Design: INBONE I/INBONE II | 363 | ||
Blood Supply of the Talus | 364 | ||
Avascular Necrosis of the Talus | 365 | ||
Malalignment | 365 | ||
TREATMENT OF TALAR COMPONENT SUBSIDENCE | 366 | ||
Revision Total Ankle Arthroplasty or Arthrodesis | 366 | ||
Treating Talar Component Subsidence with Revision Total Ankle Arthroplasty: Surgical Tips and Techniques | 367 | ||
TYPICAL CASES | 371 | ||
Case 1: Conversion Agility to Salto XT | 371 | ||
Case 2: Both Tibial Side and Talar Side Subsidence | 380 | ||
Case 3: Severe Talar Component Subsidence | 381 | ||
Case 4: Talar Component Subsidence and Polyethylene Fracture | 383 | ||
Case 5: Revision with Long-stemmed Custom Prosthesis | 384 | ||
SUMMARY | 385 | ||
REFERENCES | 385 | ||
Soft Tissue Reconstruction After Total Ankle Arthroplasty | 391 | ||
Key points | 391 | ||
INTRODUCTION | 391 | ||
PREVENTATIVE MEASURES | 392 | ||
Continuous External Tissue Expander | 392 | ||
Negative Pressure Wound Therapy | 393 | ||
Postoperative Considerations | 393 | ||
MANAGEMENT OF WOUND COMPLICATIONS | 394 | ||
Negative Pressure Wound Therapy, Dermal Regeneration Matrix, and Skin Grafts | 394 | ||
Local Flaps | 396 | ||
Reverse sural flap | 396 | ||
Propeller flaps | 397 | ||
Bipedicle flaps | 399 | ||
Free tissue transfer | 399 | ||
POSTOPERATIVE MANAGEMENT | 400 | ||
Skin Graft or Dermal Substitute Application | 400 | ||
Local Adjacent Tissue Transfer | 400 | ||
Free Tissue Transfer | 400 | ||
SUMMARY | 402 | ||
REFERENCES | 403 | ||
How To Diagnose and Treat Infection in Total Ankle Arthroplasty | 405 | ||
Key points | 405 | ||
INTRODUCTION | 406 | ||
EPIDEMIOLOGY AND RISK FACTORS | 406 | ||
DIAGNOSIS | 407 | ||
Definition of Periprosthetic Ankle Infection | 407 | ||
History and Clinical Examination | 407 | ||
Imaging | 409 | ||
Laboratory Tests | 409 | ||
Arthrocentesis and Synovial Fluid Analysis | 410 | ||
Frozen Section and Sonication | 411 | ||
TREATMENT ALGORITHM | 412 | ||
TREATMENT OF WOUND ISSUES | 412 | ||
Wound Healing Complications | 412 | ||
Superficial Wound Necrosis | 414 | ||
TREATMENT OF PERIPROSTHETIC INFECTION | 414 | ||
Classification of Periprosthetic Joint Infection | 414 | ||
Early Periprosthetic Infection | 415 | ||
Antimicrobial therapy | 415 | ||
Irrigation and debridement with or without polyethylene exchange | 415 | ||
Deep Late Chronic Infection/Late Hematogenous Infection | 415 | ||
Revision ankle arthroplasty | 415 | ||
Cement spacer as a definitive treatment | 417 | ||
Conversion to ankle arthrodesis | 419 | ||
Below-the-knee amputation | 419 | ||
REFERENCES | 419 | ||
Dealing with the Stiff Ankle | 425 | ||
Key points | 425 | ||
INTRODUCTION | 425 | ||
PREOPERATIVE STIFF ANKLE | 426 | ||
Indications and Contraindications for Total Ankle Replacement | 426 | ||
Preoperative Planning | 432 | ||
Clinical examination | 432 | ||
Radiographic evaluation | 432 | ||
Surgical Strategies | 432 | ||
Anterior osteophytes | 432 | ||
Posterior osteophytes | 433 | ||
Mild posterior soft tissue contracture | 433 | ||
Severe posterior soft tissue contracture (fixed equinus) | 433 | ||
Tendon contracture | 435 | ||
Surgical Technique | 436 | ||
Complications | 437 | ||
Postoperative Management | 437 | ||
THE STIFF ANKLE AFTER TOTAL ANKLE REPLACEMENT | 438 | ||
Indications and Contraindications for Revision | 438 | ||
Preoperative Planning | 439 | ||
Clinical examination | 439 | ||
Radiographic evaluation | 439 | ||
Differential diagnosis | 439 | ||
Surgical Strategies | 441 | ||
Arthroscopic surgery | 441 | ||
Anterior impingement/stiffness | 441 | ||
Posterior (and anterior) impingement/stiffness | 441 | ||
Component loosening and/or malpositioning | 441 | ||
Surgical Technique | 441 | ||
Complications | 448 | ||
Postoperative Management | 448 | ||
RESULTS | 448 | ||
SUMMARY | 449 | ||
ACKNOWLEDGMENTS | 449 | ||
REFERENCES | 449 | ||
Experience with Navigation in Total Ankle Arthroplasty. Is It Worth the Cost? | 455 | ||
Key points | 455 | ||
REFERENCES | 462 | ||
Is There Anything to Learn from a National Joint Registry? | 465 | ||
Key points | 465 | ||
INTRODUCTION | 465 | ||
DEMOGRAPHICS OF NATIONAL REGISTRIES | 465 | ||
WHY HAVE A REGISTRY? | 466 | ||
The Generalizability Cascade | 466 | ||
Monitoring the Performance of Implants | 467 | ||
Monitoring Trends | 468 | ||
Overall | 468 | ||
Registry specific | 468 | ||
Implant specific | 468 | ||
What Registries Can Tell About Revision | 468 | ||
Preoperative demographics | 468 | ||
Failure mode | 469 | ||
Failure of specific implants | 469 | ||
Evaluation of revisions | 470 | ||
Provision of surgeon’s specific data | 471 | ||
PROBLEMS WITH REGISTRIES | 471 | ||
Culture | 471 | ||
The Funding and Control | 471 | ||
Overinterpretation | 472 | ||
Revision Compliance—Can the data be trusted? | 472 | ||
SUMMARY | 473 | ||
REFERENCES | 473 | ||
Pearls and Pitfalls for a Surgeon New to Ankle Replacements | 477 | ||
Key points | 477 | ||
INTRODUCTION | 477 | ||
DISCUSSION | 478 | ||
The Surgeon | 478 | ||
THE PATIENT | 479 | ||
Patient Expectations | 479 | ||
Patient Selection | 479 | ||
Bone | 480 | ||
Age | 480 | ||
Deformity | 480 | ||
ANKLE REPLACEMENT | 482 | ||
Anterior Approach | 482 | ||
Lateral Approach | 483 | ||
Mobile and Fix Bearing | 484 | ||
Mobile bearing | 485 | ||
Fix bearing | 485 | ||
SUMMARY | 485 | ||
REFERENCES | 486 | ||
Index | 491 |