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 |