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Foot/Ankle Test 4: Perioperative Considerations/Nonoperative Treatments
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What's this?
The Journal of Bone and Joint Surgery (American) 86:878-886 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

What's New in Foot and Ankle Surgery

Scott T. Sauer, MD1, John V. Marymont, MD1 and Mark S. Mizel, MD2

1 Department of Orthopaedic Surgery, Baylor College of Medicine, The Methodist Hospital, 6560 Fannin, Suite 400, Houston, TX 77030
2 Department of Orthopaedic Surgery, University of Miami School of Medicine, 1700 N.W. 17 Street, #552, Miami, FL 33136. E-mail address: msmmdltjg@aol.com

Specialty Update has been developed in collaboration with the Council of Musculoskeletal Specialty Societies (COMSS) of the American Academy of Orthopaedic Surgeons.

The first 150 words of the full text of this article appear below.


   Total Ankle Arthroplasty
 
Since the introduction of the newer generation of total ankle prostheses for the treatment of ankle arthritis, surgeons have been evaluating their intermediate-term results and refining their technique. With the substantial learning curve, experienced surgeons are better able to define clinical pearls and pitfalls.

Conti presented the intermediate-term results of 120 total ankle arthroplasties that had been performed with use of the Agility prosthesis (DePuy, Warsaw, Indiana)1. Although patients reported a high degree of satisfaction after an average duration of follow-up of four years, complications were well defined during this period. These complications included eight medial malleolar fractures and one lateral malleolar fracture. The prevalence of component malpositioning was 10%, the prevalence of postoperative varus positioning of the talar component was 7%, and the prevalence of syndesmotic nonunion was 3%. Another series demonstrated a substantial learning curve with a decreasing prevalence of well-defined complications after total ankle arthroplasty2. . . . [Full Text of this Article]


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