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Minerva Ortopedica e Traumatologica 2017 June;68(2):64-73

DOI: 10.23736/S0394-3410.17.03809-7

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Total ankle arthroplasty and secondary hindfoot arthrodesis

Federico G. USUELLI 1, Claudia DI SILVESTRI 2, Luigi MANZI 1, Cristian INDINO 1, Camilla MACCARIO 1, 3, Christopher E. GROSS 4

1 Galeazzi Orthopedic Institute for Research and Care, Milan, Italy; 2 University of Catania, Catania, Italy; 3 University of Milan, Milan, Italy; 4 Department of Orthopedics, Medical University of South Carolina, Charleston, SC, USA


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To date, surgeons have not convincingly shown that a total ankle replacement (TAR) will prevent the progression of peritalar arthritis, possibly because in many series, patients undergoing TAR have concomitant degenerative changes in the subtalar joint. Several studies have reported the progression of subtalar or talonavicular arthritis after TAR, while others have noted no development of subtalar arthritis, although at a relatively short time interval from the TAR. These studies suggest that total ankle replacement does not fully protect the adjacent hindfoot from the development or progression of arthritis. This may be due to concomitant pre-existing degenerative changes in the hindfoot joints. Therefore, it is necessary to perform hindfoot fusions concurrently or after a TAR. This review will summarize the current literature.


KEY WORDS: Ankle replacement arthroplasty - Arthrodesis - Posterior tibial tendon dysfunction - Arthritis

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