Converting Ankle Arthrodesis to a Total Ankle Arthroplasty

Several articles in the literature discuss the positive results of converting a painful ankle fusion to an ankle replacement. Our results confirm that in well-selected cases a conversion to a total ankle replacement is not only possible, but also significantly improves quality of life and reduces pa...

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Bibliographic Details
Published in:	The Orthopedic clinics of North America Vol. 52; no. 2; pp. 181 - 190
Main Authors:	Coetzee, J. Chris, Raduan, Fernando, McGaver, Rebecca Stone
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-04-2021
Subjects:	Ankle arthrodesis takedown Ankle Joint - surgery Ankle replacement Arthrodesis Arthroplasty, Replacement, Ankle - methods Disability Evaluation Fusion conversion Humans Osteoarthritis - surgery Pain Measurement Painful fusion Reoperation Treatment Outcome Fusion conversion Ankle replacement Ankle arthrodesis takedown Painful fusion
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Summary:	Several articles in the literature discuss the positive results of converting a painful ankle fusion to an ankle replacement. Our results confirm that in well-selected cases a conversion to a total ankle replacement is not only possible, but also significantly improves quality of life and reduces pain. The outcome of a total ankle replacement after an ankle fusion depends to a degree on the method of fusion. Less destructive fusion that is arthroscopic has better results than conventional transfibular open fusions. Absence of a fibula should be an absolute contraindication for a conversion.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	0030-5898 1558-1373
DOI:	10.1016/j.ocl.2020.12.005