Conversion of painful tibiotalocalcaneal arthrodesis to total ankle replacement using a 3-component mobile bearing prosthesis.
BACKGROUND
The aim of this study was to assess the short-term clinical and radiographic outcomes in patients who underwent conversion of a painful tibiotalocalcaneal arthrodesis to a total ankle replacement.


METHODS
Six patients with painful ankle arthrodesis after tibiotalocalcaneal arthrodesis were included in this study. In all patients, conversion to total ankle replacement was performed using a 3rd-generation, non-constrained, cementless three-component prosthesis. The outcomes were analyzed at a mean follow-up of 3.4±1.9years (range 1.0-6.5).


RESULTS
One patient with painful arthrofibrosis underwent two open arthrolysis procedures at 1.2 and 5.6 years post index surgery, respectively. No revision of tibial or talar prosthesis components was necessary in this study. All patients reported significant pain relief and significant improvement in functional status.


CONCLUSION
In the present study, the conversion of a painful ankle arthrodesis following tibiotalocalcaneal arthrodesis to a total ankle replacement was a reliable surgical treatment.
['Preis|Markus|M|', 'Bailey|Travis|T|', 'Marchand|Lucas S|LS|', 'Weinberg|Maxwell W|MW|', 'Jacxsens|Matthijs|M|', 'Barg|Alexej|A|']
D000368:Aged D000843:Ankle Joint D018771:Arthralgia D001174:Arthrodesis D058737:Arthroplasty, Replacement, Ankle D002111:Calcaneus D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D010146:Pain D019736:Prostheses and Implants D012086:Reoperation D013628:Talus D013977:Tibia D016896:Treatment Outcome
Conversion Tibiotalocalcaneal arthrodesis Total ankle replacement Ankle arthrodesis Hindfoot arthrodesis