Research Article
Failed Agility™ LP Total Ankle Replacement Salvaged with Tibio-Talo-Calcaneal Arthrodesis and Vascularized Pedicled Medial Malleolus and Fibula Onlay Bone Grafts
Thomas S Roukis*
Orthopaedic Center, Gundersen Health System, South Avenue, La Crosse, Wisconsin
- Corresponding Author:
- Thomas S Roukis
Orthopaedic Center, Gundersen Health System
Mail Stop: C02-006, 1900 South Avenue
La Crosse, Wisconsin 54601-5467
Tel: 608-775-9673
Fax: 608-775-6707
E-mail: tsroukis@gundersenhealth.org
Received Date: July 08, 2016; Accepted Date: August 03, 2016; Published Date: August 12, 2016
Citation: Thomas SR (2016) Failed Agility™ LP Total Ankle Replacement Salvaged with Tibio-Talo-Calcaneal Arthrodesis and Vascularized Pedicled Medial Malleolus and Fibula Onlay Bone Grafts. Clin Res Foot Ankle 4:195. doi:10.4172/2329-910X.1000195
Copyright: © 2016 Thomas S Roukis. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Controversy exists regarding the most predictable salvage for failed total ankle replacement. Revision total ankle replacement with soft-tissue release/reconstruction or explantation with tibio-talo-calcaneal arthrodesis with bulk structural allograft are the most commonly performed approaches. Tibio-talo-calcaneal arthrodesis with bulk structural allograft has a high complication rate; however, augmentation with vascularized pedicled onlay bone grafts may improve osseous union and functional limb salvage. This manuscript presents the revision of a failed Agility™ LP total ankle replacement system with severe >45° varus ankle deformity that was salvaged with tibio-talocalcaneal arthrodesis, bulk femoral head structural allograft and vascularized pedicled medial malleolus and fibula onlay bone grafts. At short-term 1.5-years follow-up the patient had a well-balanced and painless foot/ankle and return of a functional lower limb.
