Journal
FOOT & ANKLE INTERNATIONAL
Volume 42, Issue 2, Pages 230-242Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1071100720978426
Keywords
total ankle arthroplasty; osteolysis; arthritis; biomaterials; revision total ankle arthroplasty
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This article provides a comprehensive review of periprosthetic osteolysis in total ankle arthroplasty, including the etiology, diagnostic workup, and various management strategies.
Periprosthetic osteolysis is a common occurrence after total ankle arthroplasty (TAA) and poses many challenges for the foot and ankle surgeon. Osteolysis may be asymptomatic and remain benign, or it may lead to component instability and require revision or arthrodesis. In this article, we present a current and comprehensive review of osteolysis in TAA with illustrative cases. We examine the basic science principles behind the etiology of osteolysis, discuss the workup of a patient with suspected osteolysis, and present a review of the evidence of various management strategies, including grafting of cysts, revision TAA, and arthrodesis.
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