Background Background Total ankle replacement has become a viable - - PowerPoint PPT Presentation
5/8/2014 Total Ankle Replacement with Total Ankle Replacement with Pre-existing Bone Defects Pre-existing Bone Defects Andrew Haskell, MD I have no conflicts associated with this presentation Braden Criswell, MD Todd Kim, MD President
Braden Criswell, MD Todd Kim, MD Ken Hunt, MD Loretta Chou, MD
President – OrthoHub, Inc Consultant – Articulinx, Moximed
Foot & Ankle International 2011
Demographics Age 67±10 BMI 30.25±4.04 DM 14/124 11% Smoking 2/124 2% Post-traumatic/instability 87/124 70% Revision 11/124 8%
No Complication Complication Any Complications No 92/124 74%
Complication Type
Other 8/124 7%
Osteolysis 3/124 2%
Wound problems Other Fracture Osteolysis
No Bone Loss Bone Loss Any Bone Loss No Bone Loss 39/115 34%
Bone Loss Location Tibia 67/76 88% Talus 37/76 49%
10 20 30 40 50 60 70 80
Tibia Talus
Contained Uncontained Tibia Containment Contained 34/67 51% Uncontained 33/67 49% Contained Observe 22/34 65% Bone Graft 12/34 35%
bone graft Uncontained Observe 25/33 76% Change Implant 8/33 24%
change implant
Talus Containment Contained 22/37 59% Uncontained 15/37 41% Contained Uncontained Contained Observe 16/22 73% Bone Graft 6/22 27%
bone graft
Uncontained Observe 9/15 60% Change Implant 6/15 40%
change implant
No Complication Complication Complication Rate No Bone Loss 26 13 33% Bone Loss 58 18 24%
No Complication Complication Complication Rate No Bone Grafting 81 29 26% Bone Grafting 11 3 21%