Primary and Revision Total Ankle Replacement

Bringing together the most up-to-date information on all aspects of primary and revision total ankle replacement (TAR), this definitive text focuses on TAR procedures and prostheses available for use in North America with additional "e;lessons learned"e; from the international community. The text is evidence-based, includes bullet points for quick reference, and is heavy on step-by-step photographs during surgery. Accordingly, the chapter content over four main sections is a purposeful mix of theory, data, and tips/pearls with detailed photographs, tables, and references. Section One provides an introduction to and history of TAR, including a discussion of fixed versus mobile bearings, TAR versus arthrodesis, and current indications and contraindications for primary TAR. Section Two focuses on primary TAR, covering a number of contemporary systems, such as INBONE, INFINITY, SALTO TALARIS and STAR. Secondary procedures with TAR comprise Section Three, including management of wound healingcomplications, soft tissue injuries, and varus and valgus malalignment. Section Four discusses revision TAR, covering topics such as infected replacements, component subsidence, and limb salvage as well as issues surrounding specific implant failures. Comprehensive yet practical, Primary and Revision Total Ankle Replacement will be the gold standard for books on this topic for many years to come and will provide invaluable instruction to orthopedic surgeons, podiatrists and foot and ankle clinicians worldwide.

Bringing together the most up-to-date information on all aspects of primary and revision total ankle replacement (TAR), this definitive text focuses on TAR procedures and  prostheses available for use in North America with additional “lessons learned” from the international community. The text is evidence-based, includes bullet points for quick reference, and is heavy on step-by-step photographs during surgery. Accordingly, the chapter content over four main sections is a purposeful mix of theory, data, and tips/pearls with detailed photographs, tables, and references. Section One provides an introduction to and history of TAR, including a discussion of fixed versus mobile bearings, TAR versus arthrodesis, and current indications and contraindications for primary TAR. Section Two focuses on primary TAR, covering a number of contemporary systems, such as INBONE, INFINITY, SALTO TALARIS and STAR. Secondary procedures with TAR comprise Section Three, including management of wound healingcomplications, soft tissue injuries, and varus and valgus malalignment. Section Four discusses revision TAR, covering topics such as infected replacements, component subsidence, and limb salvage as well as issues surrounding specific implant failures. Comprehensive yet practical, Primary and Revision Total Ankle Replacement will be the gold standard for books on this topic for many years to come and will provide invaluable instruction to orthopedic surgeons, podiatrists and foot and ankle clinicians worldwide.

Preface.- ​Part I: Introduction.- History of total ankle replacement in North America.- Survivorship of First, Second, and Third Generation Total Ankle Replacement Systems.- Fixed versus Mobile Bearings in Total Ankle Arthroplasty.- Total Ankle Replacement Based on Worldwide Registry Data Trends.- Total Ankle Replacement versus Ankle Arthrodesis.- Current Indications and Contraindications for Primary Total Ankle Replacement.-    Part II: Primary Total Ankle Replacement.- Primary INBONE Total Ankle Systems.- INFINITY® Total Ankle System.- Prophecy: Preoperative Navigation Alignment Guides.- Primary Salto Talaris Total Ankle Prosthesis.- STAR Technique.- Primary Zimmer Trabecular Metal Total Ankle Replacement.- Part III: Secondary Procedures with Total Ankle Replacement.- Managing Wound Healing Complications after Total Ankle Replacement.- Managing Varus and Valgus Mal-alignment during Total Ankle Replacement.- Managing soft-tissue ankle equinus and anterior/posterior translation of thetalus during total ankle replacement.- The science behind peri-prosthetic aseptic osteolysis in toal ankle replacement.- Management of Periprosthetic Cystic Changes after Total Ankle Replacement.- Arthroscopic débridement for soft-tissue impingement after total ankle replacement.- Managing heterotopic ossification after total ankle replacement.- Management of painful malleolar gutters after total ankle replacement.- Managing varus and valgus mal-alignment after total ankle replacement.- The Role of Peri-Articular Osteotomies in Total Ankle Replacement.- Part IV: Revision Total Ankle Replacement.- Failure and Success of Current Total Ankle Replacements Used in the United States.- Revision of aseptic osteolysis with and without component subsidence after total ankle replacement.- Management of the Infected Total Ankle Replacement.- Primary and revision total ankle arthroplasty in Japan.- Alternate Incision Approaches to Revision Total Ankle Replacement.- The Learning Curve Associated with Revision Total Ankle Replacement.- Revision of Failed Primary Agility and Agility LP Total Ankle Replacements.- Revision of the Failed INBONE Total Ankle Systems.- The Salto Talaris XT revision total ankle replacement system.- Revision of the failed STAR total ankle replacement.- Ankle and tibio-talo-calcaneal arthrodesis after failed total ankle replacement.- Ankle Arthrodesis and Malunion Takedown to Total Ankle Replacement.- Limb Salvage Techniques Following Failed Total Ankle Replacement.