Two-stage ankle replacement: A comprehensive solution for ankle osteoarthritis associated with rigid foot deformity

Abstract

Alignment and balance are mandatory for implant survival of joint replacement. Satisfactory results can be achieved in patients with significant preoperative deformity if alignment and balance were obtained. In case of associated rigid foot deformity, a two-stage procedure involving primary deformity correction and secondary total ankle arthroplasty is a comprehensive solution. We describe the principal aspects of this concept and illustrate our current approach to these challenging cases.