Revision Total Ankle Replacement, An Issue of Clinics in Podiatric Medicine and Surgery (The Clinics: Orthopedics) (Original PDF from Publisher)

The Intricacies of Total Ankle Replacement: A Comprehensive Review

This installment of Clinics in Podiatic Medicine and Surgery marks the culmination of a two-part exploration into the realm of Total Ankle Replacement (TAR). Under the expert guidance of guest editor Dr. Thomas Roukis, an assemblage of esteemed authors delves into the intricacies of TAR, shedding light on its complexities and guiding readers toward a deeper understanding of its clinical implications.

Modes of Failure: Deciphering the Frailties of Current TAR Systems

An integral component of TAR’s evaluation is unraveling the reasons behind its occasional failures. This article meticulously analyzes the various factors that can contribute to the system’s demise, offering valuable insights into design limitations, material weaknesses, and surgical errors.

Peri-Prosthetic Aseptic Osteolysis: Unraveling the Enigma

Peri-prosthetic aseptic osteolysis emerges as a formidable adversary in TAR, often manifesting as a silent and insidious process. This article unravels the mysteries surrounding its pathogenesis, exploring the intricate interplay of inflammation, wear debris, and immune response that culminate in this perplexing complication.

Revision of the Infected TAR: Navigating the Pitfalls

Infection casts an ominous shadow over TAR, posing a significant threat to its successful outcome. This article meticulously outlines the surgical techniques and clinical strategies employed to combat this formidable challenge, providing invaluable guidance for clinicians facing this daunting task.

Fusion Following Failed TAR: Embracing a Plan B

Despite meticulous planning and execution, TAR may occasionally succumb to failure. In such instances, fusion surgeries emerge as a viable salvage procedure. This article explores the indications, techniques, and outcomes associated with this alternative approach, offering a roadmap for navigating the complexities of failed TAR.

Tibiotalocalcaneal Arthrodesis: A Systematic Review

Tibiotalocalcaneal arthrodesis, a sophisticated surgical procedure, often serves as a lifeline for patients grappling with the aftermath of a failed TAR. This systematic review meticulously evaluates the available literature, providing a comprehensive overview of its indications, techniques, and outcomes.

Management of the Failed AgilityT Ankle Replacement: Unmasking Hidden Complexities

The AgilityT ankle replacement system, once hailed as a promising advancement, has encountered its own share of challenges. This article delves into the specific intricacies associated with managing its failures, offering practical insights and strategies for clinicians seeking to optimize outcomes.

Management of the Failed INBONET Ankle Replacement: Navigating a Unique Landscape

The INBONET ankle replacement system possesses its own unique set of complexities when faced with failure. This article provides a detailed analysis of its potential pitfalls and offers tailored management strategies, empowering clinicians with the knowledge necessary to successfully navigate this challenging terrain.

Outcomes after Cyst Curettage and Bone Grafting: Addressing Peri-Prosthetic Cystic Changes

Peri-prosthetic cystic changes, a late-onset complication of TAR, can compromise its longevity and necessitate further intervention. This article explores the effectiveness of cyst curettage and bone grafting as a treatment modality, providing valuable outcome data and guidance for managing this perplexing condition.