Ankle Salvage Procedure without Internal Fixation for Large Bone Defect after Failed Total Ankle Arthroplasty: A Case Report.
10.14193/jkfas.2014.18.2.76
- Author:
Man Jun PARK
1
;
Il Soo EUN
;
Chul Young JUNG
;
Young Chul KO
;
Chong Il YOO
;
Min Woo KIM
;
Keum Min HWANG
Author Information
1. Department of Orthopedic Surgery, Busan Medical Center, Busan, Korea. drkimminwoo@naver.com
- Publication Type:Case Report
- Keywords:
Total ankle replacement;
Limb salvage;
Bone defect;
Internal fixation
- MeSH:
Ankle Joint;
Ankle*;
Arthroplasty*;
Arthroplasty, Replacement, Ankle;
Dislocations;
Female;
Head;
Humans;
Limb Salvage;
Middle Aged;
Necrosis;
Prostheses and Implants;
Talus;
Transplants
- From:Journal of Korean Foot and Ankle Society
2014;18(2):76-79
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In treatment of failure in ankle joint replacement therapy, talar avascular necrosis with massive bone defect, talus fracture with severe comminution and bone defect and ankle dislocation, treatment of large bone defects is considerably important for ankle joint stability and union, therefore, the choice of treatment for large bone defects is use of femoral head or iliac crest bone graft and rigid internal fixation. Because first generation total ankle arthroplasty performed for the first time using a cemented fixation technique requires a large amount of bone resection during re-surgery and there is some possibility of a larger bone defect after removal of implants, in cases where prosthesis for the defect is needed, performance of palliative femoral head or iliac crest bone graft and rigid internal fixation can be difficult. We report on a case of a 48-year-old woman who had experienced ankle pain for 25 years since undergoing total ankle arthroplasty. Because the patient had little ankle motion and rigid soft tissue despite a large bone defect caused by aseptic loosening, a good outcome was obtained only for the femoral cancellous bone graft using allo femoral head without internal fixation.
