Now in a fully revised and updated second edition, this definitive text provides comprehensive coverage of all aspects of total ankle replacement (TAR), written by authors who are recognized experts in the field. Though the main focus is on total ankle replacement prostheses available for use in North America, the lessons learned and presented here are applicable to the growing volume of cases worldwide.
Divided into five thematic sections, each chapter is a purposeful mix of theory, data, and tips/pearls with detailed illustrations, tables, and references. Appropriately evidence-based, they include bullet points for quick reference and rely heavily on step-by-step intraoperative photographs and radiology. Part I presents the history of TAR, implant considerations (mobile-bearing vs. fixed-bearing), and indications/contraindications for the procedure. The subsequent three sections discuss all aspects of primary TAR, procedures secondary to primary TAR, and revision TAR, respectively, bringing together the most recent evidence, implant options and surgical techniques. The final section covers topics related to limb salvage after failed TAR, including preventive measures, wound healing, and infection management.
Generously illustrated and well-referenced, Primary and Revision Total Ankle Replacement remains the gold standard text on this topic for orthopedic surgeons, podiatrists and foot and ankle clinicians at all levels.
Part I: Introduction.- History of Total Ankle Replacement in North
America.- Total Ankle Replacement Based on Worldwide Registry Data Trends.-
Mobile-Bearing versus Fixed-Bearing Total Ankle Replacement.- Total Ankle
Replacement versus Ankle Arthrodesis.- Current Indications and
Contraindications for Primary Total Ankle Replacement.- A Guide to Surgical
Consent for Primary Total Ankle Replacement.- Risk Factors for Failure of
Primary Total Ankle Replacement.- Cemented, Biocemented, and Cementless Total
Ankle Replacement Fixation Methods.- 3D Orthopedic Pre-operative Surgical
Planning for Total Ankle Replacement.- Part II: Primary Total Ankle
Replacement.- Cadence Total Ankle Arthroplasty.- INBONE 2 Total Ankle
Replacement System Including Prophecy Specific Alignment Guides.- INFINITY®
Total Ankle Replacement Including PROPHECY® Patient Specific Alignment
Guides.- Vantage Total Ankle Replacement.- Hintermann Series H2 Fixed and H3
Mobile Bearing Total Ankle Replacement Systems.- Salto Talaris Total Ankle
System and Salto Talaris XT Primary and Revision Total Ankle System.- STAR
Total Ankle Replacement.- The Quantum Total Ankle Prosthesis.-
Alignment/Rebalancing Procedures for Total Ankle Replacement.- Ankle
Arthrodesis and Malunion Takedown to Total Ankle Replacement.- Part III:
Secondary Procedures with Total Ankle Replacement.- Managing Adjacent Joint
Arthritis: Indications and Techniques for Concomitant or Staged Fusions of
the Hindfoot and Midfoot.- Managing Significant Varus and Valgus Malalignment
during Total Ankle Replacement.- Managing Soft-Tissue Ankle Equinus and
Anterior/Posterior Translation of the Talus During Total Ankle Replacement.-
The Science Behind Periprosthetic Aseptic Osteolysis in Total Ankle
Replacement.- Management of Periprosthetic Cystic Changes after Total Ankle
Replacement.- Arthroscopic Debridement 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 Malalignment after Total Ankle
Replacement.- The Role of Periarticular Osteotomies in Total Ankle
Replacement.- Part IV: Revision Total Ankle Replacement.- Revision of Aseptic
Osteolysis with and without Component Subsidence after Total Ankle
Replacement.- Revision Total Ankle Arthroplasty.- The Salto Talaris XT
Revision Total Ankle Replacement System.- Custom Metallic Prostheses after
Failed Total Ankle Replacement.- Tibio-talo-calcaneal Arthrodesis after
Failed Total Ankle Replacement: Autograft and Bulk Structural Allograft
Techniques.- Tibio-talo-calcaneal Arthrodesis after Failed Total Ankle
Replacement: Metallic 3D Printed Custom Cages.- Part V: Limb Salvage of
Failed Total Ankle Replacement.- Preventative Measures against Wound Healing
Complications after Total Ankle Replacement.- Managing Wound-Healing
Complications after Total Ankle Replacement.- Alternate Incision Approaches
to Revision Total Ankle Replacement.- Management of the Infected Total Ankle
Replacement.- Permanent Polymethylmethacrylate Antibiotic Spacer for
Definitive Management of Failed Total Ankle Replacements.
Thomas S. Roukis, DPM, PhD, FACFAS, Division of Foot and Ankle Surgery, Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA
Christopher F. Hyer, DPM, MS, FACFAS, Orthopedic Foot and Ankle Center, Worthington, OH, USA
Gregory C. Berlet, MD, FAOS, FRCS(C), Orthopedic Foot and Ankle Center, Worthington, OH, USA
Christopher Bibbo, DO, DPM, FACS, FAAOS, FACFAS, Rubin Institute for Advanced Orthopedics, International Center for Limb Lengthening, Sinai Hospital of Baltimore, Baltimore, MD, USA
Murray J. Penner, MD, B.Mech.Eng, FRCSC, Department of Orthopedics, University of British Columbia, Vancouver, BC, Canada
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