{"title":"Total ankle arthroplasty in valgus ankle osteoarthritis","authors":"","doi":"10.1016/j.fuspru.2024.08.002","DOIUrl":null,"url":null,"abstract":"<div><p>The valgus total ankle replacement (TAR) presents a considerable challenge and tests the skill and ingenuity of even the most accomplished foot and ankle surgeon. Coronal plane deformity used to be considered a relative contra-indication for TAR, however with implant innovation and greater surgical understanding, the indications for TAR in deformity continue to expand. Success requires a bespoke approach to each patient to ensure that intra- and extraarticular deformities and imbalance are adequately addressed to avoid TAR failure. The overall goal in TAR surgery is achieving a well aligned and stable ankle with a well aligned and stable foot below. This article presents some of our strategies to achieve this when considering TAR in the valgus ankle.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Fuss und Sprunggelenk","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1619998724001442","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
The valgus total ankle replacement (TAR) presents a considerable challenge and tests the skill and ingenuity of even the most accomplished foot and ankle surgeon. Coronal plane deformity used to be considered a relative contra-indication for TAR, however with implant innovation and greater surgical understanding, the indications for TAR in deformity continue to expand. Success requires a bespoke approach to each patient to ensure that intra- and extraarticular deformities and imbalance are adequately addressed to avoid TAR failure. The overall goal in TAR surgery is achieving a well aligned and stable ankle with a well aligned and stable foot below. This article presents some of our strategies to achieve this when considering TAR in the valgus ankle.
外翻全踝关节置换术（TAR）是一项相当大的挑战，即使是最有造诣的足踝外科医生也要经受技术和智慧的考验。冠状面畸形曾被认为是 TAR 的相对禁忌症，但随着植入物的创新和对手术理解的加深，畸形 TAR 的适应症不断扩大。要想取得成功，就必须为每位患者量身定制手术方案，确保充分解决关节内外畸形和失衡问题，避免 TAR 失败。TAR 手术的总体目标是实现踝关节的良好对齐和稳定，以及足部的良好对齐和稳定。本文介绍了我们在考虑踝关节外翻的 TAR 时实现这一目标的一些策略。
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