Intraoperative and Perioperative Complications During Revision Arthroplasty for Salvage of a Failed Total Ankle Arthroplasty
| Autor: | Joan R. Williams, Nicholas J. Wegner, Bruce J. Sangeorzan, Michael E. Brage |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Ankle arthrodesis medicine.medical_treatment Periprosthetic complex mixtures Prosthesis Arthroplasty Replacement Ankle Osteoarthritis parasitic diseases medicine Humans Orthopedics and Sports Medicine Intraoperative Complications Aged Retrospective Studies Aged 80 and over Salvage Therapy Revision arthroplasty business.industry Perioperative Middle Aged digestive system diseases Surgery Radiography medicine.anatomical_structure Amputation Total ankle arthroplasty Ankle business Ankle Joint |
| Zdroj: | Foot & Ankle International. 36:135-142 |
| ISSN: | 1944-7876 1071-1007 |
| DOI: | 10.1177/1071100714554452 |
| Popis: | Background: Revision of a failed total ankle arthroplasty (TAA) remains a challenge. Advances in total ankle implant design have renewed interest in revision TAA as an alternative to ankle arthrodesis or amputation in the management of a failed TAA. The purpose of our study was to review a series of failed Agility TAA revised to INBONE II TAA and identify reasons for revision as well as perioperative complications. Methods: A retrospective review of 35 cases of failed Agility TAA revised to an INBONE II TAA was performed at 1 institution. Patient demographics, indications for revision, radiographs, and complications were reviewed. The average follow-up was 9.1 months (range, 0-28 months). All revisions were performed by 1 of 2 foot and ankle surgeons familiar with both prostheses. Results: The Agility TAA lasted a mean of 6.7 years prior to revision to an INBONE II TAA. Revision TAA was indicated due to mechanical loosening, osteolysis, periprosthetic fracture, and a dislocated prosthesis. Adjunctive procedures were performed in 31 of 35 cases. There were 6 intraoperative and 5 acute postoperative complications, leading to an overall 31.4% complication rate. There was 1 patient with continued pain postoperatively who underwent a second revision of the INBONE II 20 months postoperatively. Conclusion: Revision TAA was a viable treatment option for failed TAA. A high risk of perioperative complications remains, and physicians should be aware of the challenges that occur during these procedures in order to plan for them preoperatively. Level of Evidence: Level IV, retrospective case series. |
| Databáze: | OpenAIRE |
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